Provider Demographics
NPI:1962283473
Name:MASUTANI, MELODY LOKELANI (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:LOKELANI
Last Name:MASUTANI
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 36TH ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-3456
Mailing Address - Country:US
Mailing Address - Phone:808-258-8683
Mailing Address - Fax:
Practice Address - Street 1:150 SW 6TH AVE
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98277-2377
Practice Address - Country:US
Practice Address - Phone:360-279-5343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist