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Contact Information

MELISSA ROSE
4239 VIENNA WAY
MARIETTA, GA30062
 Phone: 770-355-3087
 Fax: 770-200-1541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MELISSA ROSE · (Female)

NPI # 1013082007
Status Active
Credentials
Entity Individual
Enumeration date 11/22/2006
Last updated 07/10/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • GA License # SLP005625
  • GA Medicaid 137912733G
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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