Provider Demographics
NPI:1760742670
Name:FARROW, MELISSA DAWN (AUD)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:DAWN
Last Name:FARROW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:D
Other - Last Name:GALBRAITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:50 E. DUNLAP AVE
Mailing Address - Street 2:#102
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-2879
Mailing Address - Country:US
Mailing Address - Phone:602-944-3311
Mailing Address - Fax:602-944-1968
Practice Address - Street 1:50 E DUNLAP AVE
Practice Address - Street 2:#102
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-2879
Practice Address - Country:US
Practice Address - Phone:602-944-3311
Practice Address - Fax:602-944-1968
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-24
Last Update Date:2015-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA7411237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter