Individual
MELISSA ANN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
3420 HARRY S TRUMAN BLVD, SAINT CHARLES, MO 63301-4046
(636) 926-2700
(636) 277-4548
Mailing address
273 GLEN HOLLOW DR, CHESTERFIELD, MO 63017-2807
(616) 724-5564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
07/20/2023
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