Provider Demographics
NPI:1598006090
Name:KNAPP-FLYNN, MELISSA GRACE (BC-HIS)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:GRACE
Last Name:KNAPP-FLYNN
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:GRACE
Other - Last Name:KNAPP-JENSEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BC-HIS
Mailing Address - Street 1:920 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:BELDING
Mailing Address - State:MI
Mailing Address - Zip Code:48809-9244
Mailing Address - Country:US
Mailing Address - Phone:616-337-0342
Mailing Address - Fax:
Practice Address - Street 1:102 S 3RD ST STE 200
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:MI
Practice Address - Zip Code:48811-5115
Practice Address - Country:US
Practice Address - Phone:989-584-6721
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2017-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI3501002692237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist