Individual
PROF. MELANIE MARIE WASKOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
217 WHITE ST, ABBEVILLE, LA 70510-4615
(337) 898-1686
Mailing address
217 WHITE ST, ABBEVILLE, LA 70510-4615
(337) 898-1686
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4507
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841321924
CLINIC NPI#
LA
01
—
4507
SPEECH LANG PATH LIC#
LA
Enumeration date
03/26/2007
Last updated
08/27/2008
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