Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Melanie Nicole Fuller

Individual provider Speech-Language Assistant · NPI 1508581604

Melanie Nicole Fuller is a Speech-Language Assistant in Prescott Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

2809 N Superstition Ln Apt C
Prescott Valley, AZ 86314-6910
Phone: (928) 701-3339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence SLPA14157 (AZ)

Record details

NPI number1508581604
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

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