Individual
MELISSA JEAN BUYSKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2915 NORTH 4TH STREET, FLAGSTAFF, AZ 86004
(928) 779-1679
(928) 779-2822
Mailing address
2915 NORTH 4TH STREET, FLAGSTAFF, AZ 86004
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4820
NM
235Z00000X
Speech-Language Pathologist
LL60137807
WA
235Z00000X
Speech-Language Pathologist
Primary
SLP8176
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
786574
—
AZ
Enumeration date
03/15/2010
Last updated
07/06/2020
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