Brave, Melanie Ann

Brave, Melanie Ann is an sole proprietor health care provider with primary practice located at 3800 Park Nicollet Blvd , St Louis Park MN 55416-2527. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Brave, Melanie Ann can be contacted via phone (952) 993-1000.

Contact Information

Primary practice address
3800 Park Nicollet Blvd St Louis Park MN 55416-2527
Phone: (952) 993-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 8790 Minnesota

Profile Details

NPI number 1225326457
LBN Legal business name Brave, Melanie Ann
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2011
Last updated Apr 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225326457 NPPES
Minnesota Other 8790 STATE OF MINNESOTA LICENSE

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