Individual
MELISSA TUMBLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14394 S LAKESHORE DR, COVINGTON, LA 70435-5777
(904) 303-4339
Mailing address
14394 S LAKESHORE DR, COVINGTON, LA 70435-5777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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