Individual
MELISSA ANNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1000
(401) 432-1500
Mailing address
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915-5061
(401) 432-1284
(401) 432-1509
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00475
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26577-9
BLUE CROSS
RI
01
—
410504
BLUE CHIP
RI
Enumeration date
12/06/2006
Last updated
01/07/2011
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