Individual
MELISSA LOUISE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-5077
Mailing address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(480) 221-7553
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6994
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA6994
SPEECH LANGUAGE PATHOLOGIST ASSISTANT
AZ
Enumeration date
10/26/2010
Last updated
05/28/2015
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