Fuqua, Melissa

Fuqua, Melissa is an individual health care provider with primary practice located at 7160 Tchulahoma Rd Ste 1 , Southaven MS 38671-9266. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fuqua, Melissa can be contacted via phone (662) 349-2733.

Contact Information

Primary practice address
7160 Tchulahoma Rd Ste 1 Southaven MS 38671-9266
Phone: (662) 349-2733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S3591 Mississippi

Profile Details

NPI number 1316291313
LBN Legal business name Fuqua, Melissa
Credentials MA-CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2012
Last updated Oct 30th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316291313 NPPES
Mississippi Other S3591 STATE LICENSE

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