Individual
MELISSA GILLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
8720 EMGE RD., BALTIMORE, MD 21234-3504
(410) 668-1961
Mailing address
8720 EMGE ROAD, BALTIMORE, MD 21234-3504
(410) 668-1961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05665
MD
Other
Enumeration date
12/07/2009
Last updated
12/07/2009
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