Individual
MELANIE OLSON GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
100 CUMMINGS CTR, SUITE 135H, BEVERLY, MA 01915-6115
(978) 927-0172
(978) 927-0179
Mailing address
41 TRASK ST, GLOUCESTER, MA 01930-2834
(978) 283-3312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2386
MA
235Z00000X
Speech-Language Pathologist
Primary
5847
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0110
BLUE CROSS
MA
Enumeration date
12/05/2006
Last updated
09/29/2022
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