MEDICARE: MELISSA MERKLEY SLPA

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	2355S0801X	Speech-Language Assistant	SLP8141	AZ

General Provider Information

NPI Number	:	1346587011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MERKLEY SLPA

Provider Business Mailing Address
First Line	:	10856 W SALTER DR
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85373-8798
Country	:	US
Telephone Number	:	623-337-1011
Fax Number	:

Provider Business Practice Location Address
First Line	:	10856 W SALTER DR
Second Line	:
City	:	SUN CITY
State	:	AZ
Zip	:	85373-8798
Country	:	US
Telephone Number	:	623-337-1011
Fax Number	:

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

Provider Enumeration Date	:	01/14/2013
Last Update Date	:	01/14/2013

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Directions to “ MELISSA MERKLEY SLPA” Practice Location

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