Kelly, Melinda

Kelly, Melinda is an individual health care provider with primary practice located at 318 W Pike St Suite 104, Lawrenceville GA 30045-3234. 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. Kelly, Melinda can be contacted via phone (678) 377-2833.

Contact Information

Primary practice address
318 W Pike St Suite 104 Lawrenceville GA 30045-3234
Phone: (678) 377-2833
Fax: (678) 377-2882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP005720 Georgia

Profile Details

NPI number 1033285358
LBN Legal business name Kelly, Melinda
Credentials M.ED.,CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2006
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1033285358 NPPES
Georgia Other 52703168-002 BCBS PROVIDER ID
Georgia MEDICAID 305499 BCBS PROVIDER ID

Popular Providers