Provider Demographics
NPI:1245485473
Name:MACDOWELL, MELISSA MARIE (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:MARIE
Last Name:MACDOWELL
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:MARIE
Other - Last Name:FISCHER MACDOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC/SLP
Mailing Address - Street 1:4705 COUNTY ROAD 11
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14544-9731
Mailing Address - Country:US
Mailing Address - Phone:585-729-8320
Mailing Address - Fax:
Practice Address - Street 1:4705 COUNTY ROAD 11
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:NY
Practice Address - Zip Code:14544-9731
Practice Address - Country:US
Practice Address - Phone:585-729-8320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-02
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008576235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist