Most Relevant Information
Provider Data
| NPI Number: | 1003580127 |
| Provider Name: | MELISSA JOHNSON SMITH MS, SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2021 |
| Last Updated: | 08/03/2021 |
Provider Practice Location
611 S MAIN ST
MCCLEARY
WA
985579524
Practice Location Phone/Fax
| Phone: | 3604953204 |
| Fax: |
Provider Mailing Location
404 W KAMILCHE AVE
MONTESANO
WA
985632206
Provider Mailing Phone/Fax
| Phone: | 3609999971 |
| Fax: |