Surka, Melissa Clark

Surka, Melissa Clark is an individual health care provider with primary practice located at 5 Edgeview Trl , Greenville SC 29609-4847. 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. Surka, Melissa Clark can be contacted via phone (864) 346-7751.

Contact Information

Primary practice address
5 Edgeview Trl Greenville SC 29609-4847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3562 South Carolina

Profile Details

NPI number 1134104664
LBN Legal business name Surka, Melissa Clark
Credentials MSP CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Aug 17th, 2023 - about 2 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 1134104664 NPPES
South Carolina MEDICAID SA0676

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