Doctor Name: | MRS. MELISSA M JAERLING |
NPI Number: | 1083913867 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | SLP007279 |
Business Practice Address: | 5803 Riverside Walk Dr Sugar Hill, GA - 305187478 |
Business Phone Number: | 4043681340 |
Business Fax Number: | |
Mailing Address: | 5803 Riverside Walk Dr, SUGAR HILL |
State: | GA |
Postal Code: | 305187478 |
Phone Number: | 4043681340 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2011 |
NPI Last Update Date: | 05/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP007279 |
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 |