MEDICARE: MRS. MELISSA YVONNE DONOVAN M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP007363	GA

General Provider Information

NPI Number	:	1063734168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA YVONNE DONOVAN M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	4 SUMMER LAKE WAY
Second Line	:
City	:	POOLER
State	:	GA
Zip	:	31322-4144
Country	:	US
Telephone Number	:	678-860-2196
Fax Number	:

Provider Business Practice Location Address
First Line	:	110 PIPEMAKERS CIR STE 115
Second Line	:
City	:	POOLER
State	:	GA
Zip	:	31322-4168
Country	:	US
Telephone Number	:	912-988-1526
Fax Number	:	912-988-1537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	08/22/2013

Similar Medicare Providers

1891545950 — NICOLE ETHRIDGE M.S., CCC-SLP
Practice Location Address:

110 PIPEMAKERS CIR STE 115
POOLER, GA
31322-4168

Practice Phone: 912-988-1526
Practice Fax: 912-988-1537

1447488945 — COASTAL AUTISM THERAPY CENTER, INC.
Practice Location Address:

110 PIPEMAKERS CIR STE 116
POOLER, GA
31322-4168

Practice Phone: 912-330-7171
Practice Fax: 888-413-4567

1295103836 — KATHERINE FLETCHER MS, OTR/L
Practice Location Address:

110 PIPEMAKERS CIR STE 115
POOLER, GA
31322-4168

Practice Phone: 912-988-1526
Practice Fax:

1154782928 — MRS. JANNA COKER MS
Practice Location Address:

110 PIPEMAKERS CIR STE 115
POOLER, GA
31322-4168

Practice Phone: 912-988-1526
Practice Fax:

1992204515 — WHITNEY DURANT BCBA
Practice Location Address:

110 PIPEMAKERS CIR STE 116
POOLER, GA
31322-4168

Practice Phone: 912-330-7171
Practice Fax: 888-413-4567

1205319506 — HALIE REEVES RBT
Practice Location Address:

110 PIPEMAKERS CIR STE 116
POOLER, GA
31322-4168

Practice Phone: 912-330-7171
Practice Fax:

Directions to “ MRS. MELISSA YVONNE DONOVAN M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.