Provider Demographics
NPI:1174066021
Name:ROBLEY-SPENCER, MELAINE JOELEEN
Entity type:Individual
Prefix:MS
First Name:MELAINE
Middle Name:JOELEEN
Last Name:ROBLEY-SPENCER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1424 LOZIER PL
Mailing Address - Street 2:APT 3D
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-5126
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1424 LOZIER PL
Practice Address - Street 2:APT 3D
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-5126
Practice Address - Country:US
Practice Address - Phone:718-564-5859
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-27
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
235Z00000X
NY028137235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist