Most Relevant Information
Provider Data
| NPI Number: | 1003417635 |
| Provider Name: | JACLYN RENAE MELSON MS, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2202008361 |
Most Important Dates
| Enumeration Date: | 11/02/2020 |
| Last Updated: | 11/02/2020 |
Provider Practice Location
1201 BROAD ROCK BLVD BLDG 514
RICHMOND
VA
232244915
Practice Location Phone/Fax
| Phone: | 8046755000 |
| Fax: |
Provider Mailing Location
5700 RIVERSIDE DR
RICHMOND
VA
232252538
Provider Mailing Phone/Fax
| Phone: | 7035970064 |
| Fax: |