Provider Demographics
NPI:1427618792
Name:GIANGARLO, MELYSSA (MS, CCC-SLP, MT-BC)
Entity type:Individual
Prefix:
First Name:MELYSSA
Middle Name:
Last Name:GIANGARLO
Suffix:
Gender:F
Credentials:MS, CCC-SLP, MT-BC
Other - Prefix:
Other - First Name:MELYSSA
Other - Middle Name:
Other - Last Name:WELLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP, MT-BC
Mailing Address - Street 1:3110 MOUNT VERNON AVE APT 1011
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-2651
Mailing Address - Country:US
Mailing Address - Phone:484-542-2817
Mailing Address - Fax:
Practice Address - Street 1:1602 BELLE VIEW BLVD STE 735
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22307-6531
Practice Address - Country:US
Practice Address - Phone:703-395-5157
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist