NPI 1003417635

Jaclyn Renae Melson, MSCCCSLP

Practitioner Speech-Language Pathologist Richmond, VA

Practice location

Address: 1201 Broad Rock Blvd Bldg 514, Richmond, VA 23224-4915
Phone: (804) 675-5000
Mailing address: 5700 Riverside Dr, Richmond, VA 23225-2538

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2202008361 (VA)

Other Speech-Language Pathologist providers in Virginia →

Registry record

NPI: 1003417635
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2020
Record last updated: 2 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.