Provider Demographics
NPI:1598935926
Name:MELGAR, CHELSEA LEIGH
Entity Type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LEIGH
Last Name:MELGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N PECOS RD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7324
Mailing Address - Country:US
Mailing Address - Phone:702-558-9900
Mailing Address - Fax:702-558-9920
Practice Address - Street 1:105 N PECOS RD
Practice Address - Street 2:SUITE 116
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7324
Practice Address - Country:US
Practice Address - Phone:702-558-9900
Practice Address - Fax:702-558-9920
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1190235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist