Individual
MELISSA DEANNE STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2315 SILVERDALE DR, JOHNSON CITY, TN 37601-2162
(423) 434-5130
(423) 434-5149
Mailing address
1104 LEBANON RD, KINGSPORT, TN 37663-3254
(423) 384-8787
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6863
TN
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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