Provider Demographics
NPI:1881130243
Name:GARBER, MELISSA (AUD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:GARBER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JMU SPEECH AND HEARING CLINIC
Mailing Address - Street 2:235 MARTIN LUTHER KIND WAY MSC 4304 ROOM 1120
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22807-0001
Mailing Address - Country:US
Mailing Address - Phone:540-568-6491
Mailing Address - Fax:
Practice Address - Street 1:JMU SPEECH AND HEARING CLINIC
Practice Address - Street 2:235 MARTIN LUTHER KIND WAY MSC 4304 ROOM 1120
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22807-0001
Practice Address - Country:US
Practice Address - Phone:540-568-6491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001349231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist