Basic Information
| Provider Information | |||||||||
| NPI: | 1891958807 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BIEDSCHEID | ||||||||
| FirstName: | MELIA | ||||||||
| MiddleName: | C | ||||||||
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| Credential: | M.A., CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5000 CHESHIRE LN N | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554463706 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8883339152 | ||||||||
| FaxNumber: | 7632684240 | ||||||||
| Practice Location | |||||||||
| Address1: | 2225 NW STEWART PKWY | ||||||||
| Address2: | STE 100 | ||||||||
| City: | ROSEBURG | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974701650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5416735206 | ||||||||
| FaxNumber: | 5414640530 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2008 | ||||||||
| LastUpdateDate: | 07/09/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 12039 | OR | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.