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NPI Code Detail

MEDICARE: MELISSA D JUNEAU M.A.CCC SLP

MEDICARE: MELISSA D JUNEAU M.A.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
1235Z00000XSpeech-Language Pathologist2126LA

General Provider Information

NPI Number : 1922292473
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA D JUNEAU M.A.CCC SLP
Provider Business Mailing Address
First Line : 535 W ROOSEVELT ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-7844
Country : US
Telephone Number : 225-343-4232
Fax Number : 225-343-4233
Provider Business Practice Location Address
First Line : 535 W ROOSEVELT ST
Second Line :
City : BATON ROUGE
State : LA
Zip : 70802-7844
Country : US
Telephone Number : 225-343-4232
Fax Number : 225-343-4233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2007
Last Update Date : 05/20/2013

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