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NPI Code Detail

MEDICARE: MELISSA KARL

MEDICARE: MELISSA KARL
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
1235Z00000XSpeech-Language Pathologist5986SC

General Provider Information

NPI Number : 1609223239
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA KARL
Provider Business Mailing Address
First Line : 147 FAWN LN E
Second Line :
City : SOUTH SETAUKET
State : NY
Zip : 11720-1330
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1169 SHARPESTOWNE CT
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29466-7564
Country : US
Telephone Number : 631-926-3871
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2016
Last Update Date : 01/23/2018

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Directions to “ MELISSA KARL ” Practice Location

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