Walters, Melissa

Walters, Melissa is an sole proprietor health care provider with primary practice located at 1701 Reading Blvd , Wyomissing PA 19610-2605. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Walters, Melissa can be contacted via phone (610) 360-1165.

Contact Information

Primary practice address
1701 Reading Blvd Wyomissing PA 19610-2605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SL001562L Pennsylvania

Profile Details

NPI number 1679762371
LBN Legal business name Walters, Melissa
Credentials SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2007
Last updated Oct 18th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679762371 NPPES
Pennsylvania MEDICAID 1017293630001

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