MEDICARE: MRS. MELISSA YVONNE DONOVAN EDS, 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	225X00000X	Occupational Therapist	OT003949	GA
2	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 EDS, CCC-SLP

Provider Business Mailing Address
First Line	:	315 W MEMORIAL DR
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-2413
Country	:	US
Telephone Number	:	912-320-4737
Fax Number	:	888-977-3418

Provider Business Practice Location Address
First Line	:	315 W MEMORIAL DR
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-2413
Country	:	US
Telephone Number	:	912-320-4737
Fax Number	:	888-977-3418

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

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	05/15/2026

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

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