Individual
MELISSA SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CFY-SLP
Contact information
Practice address
5709 CENTRE SQUARE DR, CENTREVILLE, VA 20120-1916
(571) 242-2489
Mailing address
8901 SONG SPARROW DR, GAINESVILLE, VA 20155-5844
(757) 561-6838
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006114
VA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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