Provider Demographics
NPI:1487846846
Name:ROSE, MELISSA ANN CARNES (AUD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:ANN CARNES
Last Name:ROSE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 TAMARACK LN
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-3486
Mailing Address - Country:US
Mailing Address - Phone:304-825-6689
Mailing Address - Fax:
Practice Address - Street 1:57 TAMARACK LN
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-3486
Practice Address - Country:US
Practice Address - Phone:304-825-6689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-09
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist