Individual
MARC MELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
2529 S BALA DR, TEMPE, AZ 85282-2911
(480) 299-3975
Mailing address
2529 S BALA DR, TEMPE, AZ 85282-2911
(480) 299-3975
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
11575
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11575
—
AZ
Enumeration date
12/18/2018
Last updated
12/18/2018
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