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Individual

MELISSA CARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, ITDS

Contact information

Practice address
12 OVIEDO BLVD, OVIEDO, FL 32765
(502) 445-4914
Mailing address
901 CLARK ST, OVIEDO, FL 32765-7378
(502) 445-4914

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
2355S0801X
Speech-Language Assistant
Primary
7154
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1265812655
SLPA
FL
Enumeration date
06/01/2015
Last updated
09/16/2024
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