Provider Demographics
NPI:1629800990
Name:SAADY, MELISSA CLARK
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:CLARK
Last Name:SAADY
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 1:2006 CARVER ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23223-3952
Mailing Address - Country:US
Mailing Address - Phone:804-937-5666
Mailing Address - Fax:
Practice Address - Street 1:2006 CARVER ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-3952
Practice Address - Country:US
Practice Address - Phone:804-937-5666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2598175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist