Provider Demographics
NPI:1801544929
Name:WALSH, MELISSA (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:WALSH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 N BARNSTEAD RD
Mailing Address - Street 2:
Mailing Address - City:CENTER BARNSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03225-3953
Mailing Address - Country:US
Mailing Address - Phone:781-428-1687
Mailing Address - Fax:
Practice Address - Street 1:75 PARKSIDE AVE
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3603
Practice Address - Country:US
Practice Address - Phone:603-624-6356
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist