Doctor Name: | MISS MELISSA MONAGHAN |
NPI Number: | 1184962086 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | S3873 |
Business Practice Address: | 506 Kate Lofton Dr Brandon, MS - 390478329 |
Business Phone Number: | 6019273795 |
Business Fax Number: | 8884088272 |
Mailing Address: | 506 Kate Lofton Dr, BRANDON |
State: | MS |
Postal Code: | 390478329 |
Phone Number: | 6019273795 |
Fax Number: | 8884088272 |
NPI Enumeration Date: | 01/28/2013 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | S3873 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |