Individual
MS. MELYSSA ELLEN HEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 KAUFMAN DR, FAIRMONT, WV 26554-2179
(304) 363-5634
Mailing address
1334 RIDDLE AVE, MORGANTOWN, WV 26505-2642
(304) 906-7598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P/SLP-0508
WV
Other
Enumeration date
05/23/2011
Last updated
05/24/2011
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