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Individual

MELISSA THOMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SPEECH THERAPIST

Contact information

Practice address
2003 STAPP DR UNIT C, HENDERSON, KY 42420-1601
(270) 827-4857
(270) 827-9773
Mailing address
2003 STAPP DR UNIT C, HENDERSON, KY 42420-1601
(270) 827-4857
(270) 827-9773

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
162797
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
184517
MEDICARE
KY
05
45118379
KY
Enumeration date
03/19/2014
Last updated
04/29/2025
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