Individual
MELISSA DIANNE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3305 W 144TH AVE UNIT 200, BROOMFIELD, CO 80023-9483
(303) 284-6569
Mailing address
11825 RIDGE PKWY APT 1624, BROOMFIELD, CO 80021-6521
(505) 795-1042
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
C-5413
NM
235Z00000X
Speech-Language Pathologist
Primary
SLP.003415
CO
Other
Enumeration date
09/12/2013
Last updated
07/05/2019
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