MEDICARE: MRS. MELISSA TALLO LALANDE M.A., 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	5254	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407992134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA TALLO LALANDE M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	2644 WOODLAND RIDGE BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2539
Country	:	US
Telephone Number	:	225-281-3412
Fax Number	:

Provider Business Practice Location Address
First Line	:	2644 WOODLAND RIDGE BLVD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2539
Country	:	US
Telephone Number	:	225-281-3412
Fax Number	:

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

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	06/23/2011

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Directions to “ MRS. MELISSA TALLO LALANDE M.A., CCC-SLP” Practice Location

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