Individual
LEAH MELISSA ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
136 REVELL RD, FREDERICKSBURG, VA 22405-5933
(540) 273-4956
Mailing address
136 REVELL RD, FREDERICKSBURG, VA 22405-5933
(540) 273-4956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003582
VA
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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