Individual
MRS. MELISSA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16620 S 48TH ST UNIT 46, PHOENIX, AZ 85048-1205
(480) 241-3664
Mailing address
16620 S 48TH ST UNIT 46, PHOENIX, AZ 85048-1205
(480) 241-3664
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA9137
AZ
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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