Individual
MELISSA SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11154 HURON ST STE 101, NORTHGLENN, CO 80234-2329
(720) 457-5956
Mailing address
9808 W 70TH PL, ARVADA, CO 80004-1628
(708) 606-1802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146013755
IL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146013755
—
IL
Enumeration date
04/17/2019
Last updated
03/29/2022
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