Provider Demographics
NPI:1134309164
Name:FLEISCHMANN, MELISSA N
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:N
Last Name:FLEISCHMANN
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 1:1035 EMERSON WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-1154
Mailing Address - Country:US
Mailing Address - Phone:775-848-9104
Mailing Address - Fax:
Practice Address - Street 1:1664 N VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-0705
Practice Address - Country:US
Practice Address - Phone:775-982-1000
Practice Address - Fax:775-982-3300
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP1146235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV296505Medicare UPIN