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Melinda Annette Green
Developmental Disabilities Clinic/Center in Boardman, Ohio
NPI 1063010676

Melinda Annette Green is a Developmental Disabilities Clinic/Center based in Boardman, OH and is specialized in Developmental Disabilities. Melinda Annette Green practices in Boardman, OH. The NPI Number for Melinda Annette Green is 1063010676 and holds a License No. (Ohio).

The current practice location address for Melinda Annette Green is 22 Meadowbrook Ave, Boardman, OH and can be reached out via phone at 330-774-4670.

Location: 22 Meadowbrook Ave, Boardman, OH, 44512-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063010676
Provider Name
Melinda Annette Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
22 Meadowbrook Ave, Boardman, OH, 44512-2605
Phone Number
330-774-4670
Fax Number
Provider Enumeration Date
10/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5505995 05 OH
institution
Provider Business Practice Location Address Details
Address
22 Meadowbrook Ave
City
Boardman
State
Ohio
Zip
44512-2605
Phone Number
330-774-4670
Fax Number
person
Provider Business Mailing Address Details
Address
22 Meadowbrook Ave
City
Boardman
State
Ohio
Zip
44512-2605
Phone Number
330-774-4670
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Developmental Disabilities
Taxonomy
261QD1600X
License No.
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Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
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