Melissa Ann Black | Saint Charles, MO • PECOS Search

Melissa Ann Black

Speech-Language Pathologist

Speech, Language and Hearing Service Providers

3420 Harry S Truman Blvd, Saint Charles, MO 63301-4046

(636) 926-2700 (616) 724-5564

PECOS Enrollment

Based on the most recent information from CMS, provider Melissa Ann Black does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1730854852
Provider Type
Individual
Full Name
Black, Melissa Ann
Credential
MA, SLP

Gender
Female
Sole Proprietor
No
Enumeration Date
8/11/2021
Last Updated
7/20/2023

Contact Information

Practice Location

3420 Harry S Truman Blvd, Saint Charles, MO 63301-4046

(636) 277-4548

Mailing Location

273 Glen Hollow Dr, Chesterfield, MO 63017-2807

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 235Z00000X Primary	Description Speech-Language Pathologist Speech, Language and Hearing Service Providers	License Unlisted Issuer