Provider Demographics
NPI:1144427279
Name:WEBB, MELISSA CHERIE (CCC SLP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:CHERIE
Last Name:WEBB
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:CHERIE
Other - Last Name:TODD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC SLP
Mailing Address - Street 1:1032 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-3503
Mailing Address - Country:US
Mailing Address - Phone:845-897-3330
Mailing Address - Fax:845-897-3753
Practice Address - Street 1:1032 MAIN ST
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-3503
Practice Address - Country:US
Practice Address - Phone:845-897-3330
Practice Address - Fax:845-897-3753
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2020-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013189-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist