Individual
MELISA BETH THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPS
Contact information
Practice address
808 MILL LAKE RD, FORT WAYNE, IN 46845-6400
(260) 338-1241
(260) 338-1231
Mailing address
808 MILL LAKE RD, FORT WAYNE, IN 46845-6400
(260) 338-1241
(260) 338-1231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004226A
IN
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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