Individual
MRS. MELANIE KEFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1565 VIRGINIA RANCH RD, GARDNERVILLE, NV 89410-5704
(844) 570-5714
Mailing address
10085 RACCOON CT, RENO, NV 89523-9605
(775) 622-5735
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SP-1844
NV
235Z00000X
Speech-Language Pathologist
Primary
SP-1844 PROVISIONAL
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679935852
—
NV
Enumeration date
03/25/2016
Last updated
05/25/2021
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