Individual
MELISSA ANNE BECKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2200 RANDALLIA DR, FORT WAYNE, IN 46805-4638
(260) 373-3202
Mailing address
8918 WOODSTREAM DR, FORT WAYNE, IN 46804-6568
(260) 235-0020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005112A
IN
Other
Enumeration date
03/29/2011
Last updated
08/11/2020
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