Individual
LESLEY MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SP
Contact information
Practice address
11047 N 79TH PL, SCOTTSDALE, AZ 85260-5598
(602) 619-6061
Mailing address
14508 W CLARENDON AVE, GOODYEAR, AZ 85338-8243
(623) 256-4880
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4309
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
881658
—
AZ
Enumeration date
03/08/2007
Last updated
07/09/2007
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