MEDICARE: MRS. MELISSA J DENNING 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	SLP011997	GA

General Provider Information

NPI Number	:	1326649674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA J DENNING M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	416 ARISTIDES WAY
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-2033
Country	:	US
Telephone Number	:	205-902-8268
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 ARISTIDES WAY
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-2033
Country	:	US
Telephone Number	:	205-902-8268
Fax Number	:

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

Provider Enumeration Date	:	11/03/2020
Last Update Date	:	03/02/2026

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