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MS. MELANIE BLAIR SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1942450523
Individual Registrant:MS. MELANIE BLAIR SLP
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1413 BLUE SPRING CT SAINT AUGUSTINE, FL 32092-2454 US
Tel: 904-615-1503 Fax: --
Tel: 904-615-1503 Fax: --
Contact information for business:
1413 BLUE SPRING COURT ST AUGUSTINE, FL 32092-1256 US
Tel: 904-615-1503 Fax: --
Tel: 904-615-1503 Fax: --
Registration Information:
NPI: 1942450523
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | FL | SZ4613 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LICENSE | SZ4613 | FL | 01 |
