Provider Demographics
NPI:1407028301
Name:DUTHU, MELISSA LEIGH WEBB (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:LEIGH WEBB
Last Name:DUTHU
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 VETERANS BLVD
Mailing Address - Street 2:STE. 200
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-2666
Mailing Address - Country:US
Mailing Address - Phone:504-309-8322
Mailing Address - Fax:504-309-8328
Practice Address - Street 1:1700 VETERANS BLVD
Practice Address - Street 2:STE. 200
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-2666
Practice Address - Country:US
Practice Address - Phone:504-309-8322
Practice Address - Fax:504-309-8328
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-31
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5585237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter