Provider Demographics
NPI:1326184193
Name:WORKMAN, MELISA ANN (MA)
Entity Type:Individual
Prefix:MISS
First Name:MELISA
Middle Name:ANN
Last Name:WORKMAN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8201 SW 204TH CT
Mailing Address - Street 2:
Mailing Address - City:DUNNELLON
Mailing Address - State:FL
Mailing Address - Zip Code:34431-5271
Mailing Address - Country:US
Mailing Address - Phone:407-760-6527
Mailing Address - Fax:352-746-0569
Practice Address - Street 1:538 N LECANTO HWY
Practice Address - Street 2:SUITE 538
Practice Address - City:LECANTO
Practice Address - State:FL
Practice Address - Zip Code:34461-8547
Practice Address - Country:US
Practice Address - Phone:352-746-3300
Practice Address - Fax:352-746-0569
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 6368235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist