Individual
MRS. NIKKI LOUISE MELCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
2600 GREENBUSH STREET, LAFAYETTE, IN 47904-2479
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8335
(765) 448-8335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003608A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550573
ANTHEM PROVIDER NUMBER
IN
05
—
200374910
—
IN
Enumeration date
05/20/2006
Last updated
11/06/2013
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