Individual
MISS MELISSA WEIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
803 S. MAIN ST., WOODSTOCK, VA 22664
(540) 459-5676
Mailing address
1940 TAYLOR DR APT 12, WINCHESTER, VA 22601-6338
(814) 571-8360
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008664
VA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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