Individual
MELISSA PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2126 DIXON AVE, MISSOULA, MT 59801-8226
(406) 282-0508
Mailing address
2240 E VISTA DR, MISSOULA, MT 59803-2616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-SP-LIC-13888
MT
Other
Enumeration date
06/23/2025
Last updated
08/20/2025
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