Davis, Melissa Long

Davis, Melissa Long is an sole proprietor health care provider with primary practice located at 1411 Highway 389 , Starkville MS 39759-8451. 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. Davis, Melissa Long can be contacted via phone (662) 769-4888.

Contact Information

Primary practice address
1411 Highway 389 Starkville MS 39759-8451
Phone: (662) 769-4888
Fax: (662) 338-5439
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S2545 Mississippi

Profile Details

NPI number 1063629632
LBN Legal business name Davis, Melissa Long
Credentials M.S., CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 16th, 2007
Last updated Mar 9th, 2015 - about 11 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 1063629632 NPPES
Mississippi MEDICAID 05631321
Mississippi MEDICAID 07384811

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