Mellblom, Caron Ivy

Mellblom, Caron Ivy is an sole proprietor health care provider with primary practice located at 928 Finnell Way , Placentia CA 92870-4445. 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. Mellblom, Caron Ivy can be contacted via phone (714) 402-8415.

Contact Information

Primary practice address
928 Finnell Way Placentia CA 92870-4445
Phone: (714) 402-8415
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 110093972 California

Profile Details

NPI number 1528344181
LBN Legal business name Mellblom, Caron Ivy
Credentials M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2011 - about 15 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 1528344181 NPPES
California Other 110093972 SPEECH PATHOLOGIST

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