Provider Demographics
NPI:1689768889
Name:DONALD, MELINDA NELSON (MCD CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:NELSON
Last Name:DONALD
Suffix:
Gender:F
Credentials:MCD CCC-SLP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 55823
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35255-5823
Mailing Address - Country:US
Mailing Address - Phone:205-934-4100
Mailing Address - Fax:
Practice Address - Street 1:1720 2ND AVE S # 19-307
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-2953
Practice Address - Country:US
Practice Address - Phone:205-934-1089
Practice Address - Fax:205-975-2380
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ALSLP.2633235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist