Melissa Marie Defacio, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL60405675 Issued in WA

Practice address

535 Dock St
Suite 104
Tacoma, WA 98402-4614

Phone

(253) 874-9300

Fax

(206) 374-2533

NPI assigned

Nov 20, 2013

Last updated

Nov 20, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384905600000",
    "number": "1528498904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18155 MARINE VIEW DR SW",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981663839",
            "telephone_number": "253-874-9300",
            "fax_number": "206-374-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 DOCK ST",
            "address_2": "SUITE 104",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024614",
            "telephone_number": "253-874-9300",
            "fax_number": "206-374-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFACIO",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL60405675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clark Wheeler Deem, M.D.
• Jeffrey Lynn Deem
• Kenneth C. Deem, M.D., M.P.H.
• Shirley Ruth Deem
• Jamie Lynn Deering, LMP
• Widad Defar
• Defense Finance & Actg Serv
• Frezer Dejenu Degefa, MD
• Evgeny V Degodyuk, RN
• Cecilia C Degrate, BT

• Speech-Language Pathologist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.