Doctor Name: | MRS. MELISSA HOPE FELTS WALL |
NPI Number: | 1043598592 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP007890 |
Business Practice Address: | 2336 Dawson Rd Suite 1100 Albany, GA - 317072800 |
Business Phone Number: | 2293128799 |
Business Fax Number: | 2293128763 |
Mailing Address: | 138 Smokey Ln, AMERICUS |
State: | GA |
Postal Code: | 317097957 |
Phone Number: | 2293265489 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 02/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
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 |