Individual
MELISSA GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10560 OLD OLIVE STREET RD, SUITE 100, CREVE COEUR, MO 63141-5916
(314) 567-4707
(314) 567-4505
Mailing address
10560 OLD OLIVE STREET RD, SUITE 100, CREVE COEUR, MO 63141-5916
(314) 567-4707
(314) 567-4505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2009018416
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507265809
—
MO
Enumeration date
07/30/2009
Last updated
07/30/2009
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