| NPI | 1508213349 |
|---|---|
| Former Name | MELISSA MARIE MADDOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0004085) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2023-07-06 |