Provider Demographics
NPI:1447688742
Name:BECKER, MELISSA BRITTANY (MS, CCC-SLP)
Entity type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:BRITTANY
Last Name:BECKER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:BRITTANY
Other - Last Name:GILDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:16093 SAINT PETERS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VA
Mailing Address - Zip Code:23192-3012
Mailing Address - Country:US
Mailing Address - Phone:703-624-8524
Mailing Address - Fax:
Practice Address - Street 1:16093 SAINT PETERS CHURCH RD
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VA
Practice Address - Zip Code:23192-3012
Practice Address - Country:US
Practice Address - Phone:703-624-8524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006767235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist