Provider Demographics
NPI:1982907408
Name:CARWIN, MELISSA ANN (MA CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ANN
Last Name:CARWIN
Suffix:
Gender:F
Credentials:MA CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8908 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-7405
Mailing Address - Country:US
Mailing Address - Phone:540-226-6685
Mailing Address - Fax:
Practice Address - Street 1:8908 ORCHARD LN
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22551-7405
Practice Address - Country:US
Practice Address - Phone:540-226-6685
Practice Address - Fax:540-226-6685
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-07
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202002620235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist