Individual
JEANNE LYNN MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2458 WALNUT AVE, VENICE, CA 90291-5019
(310) 306-4247
(310) 306-3903
Mailing address
2458 WALNUT AVE, VENICE, CA 90291-5019
(310) 306-4247
(310) 306-3903
Taxonomy
Speciality
Code
Description
License number
State
235500000X
Speech/Language/Hearing Specialist/Technologist
Primary
OT3809
CA
Other
Enumeration date
03/21/2007
Last updated
05/21/2020
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