Individual
MELISSA DAWN RUDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2811 TIETON DR., YAKIMA, WA 98902-2794
(509) 965-5260
(509) 965-5263
Mailing address
2811 TIETON DR, YAKIMA, WA 98902-3761
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003926
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50-6506
—
WA
05
—
7980709
—
WA
Enumeration date
05/12/2006
Last updated
10/27/2016
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