Individual
MELISSA LOU ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.-CCCA
Contact information
Practice address
BLANCHFIELD ARMY COMMUNITY HOSPITAL, 650 JOEL DRIVE, FORT CAMPBELL, KY 42223
(270) 798-4677
Mailing address
156 S DOSSETT DRIVE, PO BOX 70643, JOHNSON CITY, TN 37614-1702
(423) 439-4584
(423) 439-4607
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1601000500
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000500
STATE LICENSE
MI
Enumeration date
03/30/2010
Last updated
05/09/2025
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