| Doctor Name: | LESLEY MELLOR |
| NPI Number: | 1205967577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SP |
| License Number: | SLP4309 |
| Business Practice Address: | 11047 N 79th Pl Scottsdale, AZ - 852605598 |
| Business Phone Number: | 6026196061 |
| Business Fax Number: | |
| Mailing Address: | 14508 W Clarendon Ave, GOODYEAR |
| State: | AZ |
| Postal Code: | 853388243 |
| Phone Number: | 6232564880 |
| Fax Number: | |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP4309 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |