Individual
MELISSA K SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
509 E 10TH AVE, MESA, AZ 85204-4111
(480) 695-0097
Mailing address
509 E 10TH AVE, MESA, AZ 85204-4111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5086
AZ
Other
Enumeration date
08/26/2008
Last updated
08/26/2008
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