Individual
MELISSA TAIT BRUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
3315 PURVIS RD, QUANTICO, VA 22134-2101
(571) 660-9565
Mailing address
2016 FARRAGUT DR, STAFFORD, VA 22554-2307
(540) 706-7031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202010325
VA
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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