Individual
MELODY LYNN SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA., CCC-SP
Contact information
Practice address
490 N. SECOND, STE C, COOS BAY, OR 97420-2305
(541) 267-5221
(541) 267-5221
Mailing address
490 N. SECOND, STE C, COOS BAY, OR 97420-2305
(541) 267-5221
(541) 267-5221
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10886
OR
235Z00000X
Speech-Language Pathologist
7002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047063
—
OR
05
—
089037
—
OR
Enumeration date
10/03/2006
Last updated
07/09/2007
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