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
Phone: (864) 346-7751
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134104664 | NPPES |
South Carolina | MEDICAID | SA0676 |
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