Anderson, Melissa Lou

Anderson, Melissa Lou is an individual health care provider with primary practice located at 156 S Dossett Drive , Johnson City TN 37614-1702. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Anderson, Melissa Lou can be contacted via phone (423) 439-4355.

Contact Information

Primary practice address
156 S Dossett Drive Johnson City TN 37614-1702
Fax: (423) 439-4607
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000500 Michigan
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1820 Tennessee

Profile Details

NPI number 1669797924
LBN Legal business name Anderson, Melissa Lou
Credentials M.A.-CCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2010
Last updated Mar 27th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669797924 NPPES
Tennessee Other 1820 STATE LICENSE
Tennessee Other 1601000500 STATE LICENSE

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