MEDICARE: MELISSA SHIVER SPEECH SERVICES LLC

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

General Provider Information

NPI Number	:	1346182854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELISSA SHIVER SPEECH SERVICES LLC

Provider Business Mailing Address
First Line	:	1404 CREEK HOUSE LN
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492-8234
Country	:	US
Telephone Number	:	843-408-8467
Fax Number	:	843-589-1056

Provider Business Practice Location Address
First Line	:	672 MARINA DR STE 103
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29492-8269
Country	:	US
Telephone Number	:	843-408-8467
Fax Number	:	843-589-1056

Authorized Official
Title or Position	:	OWNER/SLP
Name	:	MELISSA SHIVER
Credential	:	SLP
Telephone Number	:	843-408-8467

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “MELISSA SHIVER SPEECH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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