MEDICARE: MELISSA OLIVA

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	7080	TN
2	235Z00000X	Speech-Language Pathologist	SA15449	FL

General Provider Information

NPI Number	:	1396102216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA OLIVA

Provider Business Mailing Address
First Line	:	7049 SUNNYWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8624
Country	:	US
Telephone Number	:	305-788-1739
Fax Number	:

Provider Business Practice Location Address
First Line	:	7049 SUNNYWOOD DR
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-8624
Country	:	US
Telephone Number	:	305-788-1739
Fax Number	:

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

Provider Enumeration Date	:	01/22/2016
Last Update Date	:	08/08/2022

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Directions to “ MELISSA OLIVA ” Practice Location

Language	Start Address	Practice Location

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