Individual
MRS. STACEY LEEANN MELZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
220 VILLAGE CIR, PONCA CITY, OK 74601-4021
(580) 830-0662
Mailing address
16112 LEDGE LN, EDMOND, OK 73013-3227
(575) 644-2831
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14066855
OK
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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