Healthcare Provider Details

I. General information

NPI: 1336178946
Provider Name (Legal Business Name): MELISSA L ANDERSON AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA L ANDERSON-POLLINO AU.D.

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 02/26/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8617 FIFTEEN MILE RD.
STERLING HEIGHTS MI
48312
US

IV. Provider business mailing address

8617 FIFTEEN MILE RD.
STERLING HEIGHTS MI
48312
US

V. Phone/Fax

Practice location:
  • Phone: 586-558-7477
  • Fax: 586-558-7479
Mailing address:
  • Phone: 586-558-7477
  • Fax: 586-558-7479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000050
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: