Anderson, Melissa Lou
Anderson, Melissa Lou is an individual health care provider with primary practice located at 156 S Dossett Drive , Johnson City TN 37614-1702. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Anderson, Melissa Lou can be contacted via phone (423) 439-4355.Contact Information
Primary practice address
156 S Dossett Drive
Johnson City TN 37614-1702
Phone: (423) 439-4355
Fax: (423) 439-4607
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1601000500 | Michigan |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 1820 | Tennessee |
Profile Details
| NPI number | 1669797924 |
|---|---|
| LBN Legal business name | Anderson, Melissa Lou |
| Credentials | M.A.-CCCA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2010 |
| Last updated | Mar 27th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669797924 | NPPES |
| Tennessee | Other | 1820 | STATE LICENSE |
| Tennessee | Other | 1601000500 | STATE LICENSE |
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