Individual
MRS. ALLISON M MCMELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGY
Contact information
Practice address
306 STANAFORD RD, BECKLEY, WV 25801-3142
(304) 255-3000
(304) 254-2786
Mailing address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8148
(606) 574-8011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0726
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7405035000
—
WV
Enumeration date
10/06/2006
Last updated
07/09/2007
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