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General NPI Number Information
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NPI Number | 1508572181
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Entity Type | Individual
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Provider Name | ALYSSA RENAE MELENDEZ M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 01/26/2023
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 5355 SAILORWAY DR
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City | VERMILION
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State | OH
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Zip | 44089-1500
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Country | US
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Telephone | 440-204-1702
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Fax |
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Provider Business Mailing Address
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Address Line | 4750 OAK POINT RD APT 201
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City | LORAIN
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State | OH
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Zip | 44053-2051
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Country | US
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Telephone | 440-787-4373
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP.14337
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License Number State | OH
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