Provider Demographics
NPI:1760743405
Name:WRIGHT, MELISSA ANN (MS, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANN
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:CARROLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19800 ATASCOCITA SHORES DR APT 734
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-2374
Mailing Address - Country:US
Mailing Address - Phone:713-553-0948
Mailing Address - Fax:
Practice Address - Street 1:5811 ALPINE HTS
Practice Address - Street 2:
Practice Address - City:PORTER
Practice Address - State:TX
Practice Address - Zip Code:77365-8510
Practice Address - Country:US
Practice Address - Phone:832-728-2627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-29
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121332235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist