Most Relevant Information
Provider Data
| NPI Number: | 1003442047 |
| Provider Name: | MELISSA SMITH M.S. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SP.10839 |
Most Important Dates
| Enumeration Date: | 03/22/2020 |
| Last Updated: | 03/22/2020 |
Provider Practice Location
1451 ROSEWOOD AVE
LAKEWOOD
OH
441073733
Practice Location Phone/Fax
| Phone: | 8143358070 |
| Fax: |
Provider Mailing Location
1451 ROSEWOOD AVE
LAKEWOOD
OH
441073733
Provider Mailing Phone/Fax
| Phone: | 8143358070 |
| Fax: |