Provider Demographics
NPI:1689978207
Name:TRESCO, MELANIE ERIN (MA, CCC/SLP-L)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ERIN
Last Name:TRESCO
Suffix:
Gender:F
Credentials:MA, CCC/SLP-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14423-1065
Mailing Address - Country:US
Mailing Address - Phone:585-538-6811
Mailing Address - Fax:585-538-3450
Practice Address - Street 1:99 NORTH ST
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:NY
Practice Address - Zip Code:14423-1065
Practice Address - Country:US
Practice Address - Phone:585-538-6811
Practice Address - Fax:585-538-3450
Is Sole Proprietor?:No
Enumeration Date:2010-12-23
Last Update Date:2010-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist