Individual
DORTHEA ELISE MELVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
929 WINDSOR ST, SANTA CRUZ, CA 95062-2617
(831) 359-7159
Mailing address
929 WINDSOR ST, SANTA CRUZ, CA 95062-2617
(831) 359-7159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17714
CA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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