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NPI Code Detail

MEDICARE: MS. MELISSA A ROSS

MEDICARE:  MS. MELISSA A ROSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist000079572KY

General Provider Information

NPI Number : 1235385386
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA A ROSS
Provider Business Mailing Address
First Line : 202 HORSLEY LN
Second Line :
City : ASHLAND
State : KY
Zip : 41102-3334
Country : US
Telephone Number : 606-923-8497
Fax Number :
Provider Business Practice Location Address
First Line : 202 HORSLEY LN
Second Line :
City : ASHLAND
State : KY
Zip : 41102-3334
Country : US
Telephone Number : 606-923-8497
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2008
Last Update Date : 08/08/2008

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Directions to “ MS. MELISSA A ROSS ” Practice Location

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