Most Relevant Information
Provider Data
| NPI Number: | 1003552506 |
| Provider Name: | MELISSA LEANNE COALSON M.ED |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/07/2022 |
| Last Updated: | 05/07/2022 |
Provider Practice Location
1301 HUMMINGBIRD LN
SPOUT SPRING
VA
245932988
Practice Location Phone/Fax
| Phone: | 4346655804 |
| Fax: |
Provider Mailing Location
1301 HUMMINGBIRD LN
SPOUT SPRING
VA
245932988
Provider Mailing Phone/Fax
| Phone: | 4346655804 |
| Fax: |