Melissa Rose
Speech-Language Pathologist, in Marietta, GA. Individual provider (NPI-1).
NPI number1013082007
StatusActive
Last updated in NPPESJul 10, 2018
Details
- NPI
- 1013082007
- Entity type
- Individual (NPI-1)
- Name
- Melissa Rose
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 22, 2006
- Last updated
- Jul 10, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP005625 | GA | Yes |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
4239 Vienna WayMarietta, GA 30062
Phone 770-355-3087 · Fax 770-200-1541
Mailing address
4239 Vienna WayMarietta, GA 30062-5721
Phone 770-355-3087 · Fax 770-200-1541
Other practice locations
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