MEDICARE: MELISSA GOVAN-ORMAN M.S. 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	SL009636	PA

General Provider Information

NPI Number	:	1659675098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA GOVAN-ORMAN M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	18 SYLVAN ACRES LN
Second Line	:
City	:	SCOTT TOWNSHIP
State	:	PA
Zip	:	18447-7509
Country	:	US
Telephone Number	:	570-585-7886
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 SYLVAN ACRES LN
Second Line	:
City	:	SCOTT TOWNSHIP
State	:	PA
Zip	:	18447-7509
Country	:	US
Telephone Number	:	570-585-7886
Fax Number	:

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

Provider Enumeration Date	:	12/28/2010
Last Update Date	:	12/28/2010

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Directions to “ MELISSA GOVAN-ORMAN M.S. CCC-SLP” Practice Location

Language	Start Address	Practice Location

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