MEDICARE: MELANIE D MEHAY 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	SP 8379	OH
2	235Z00000X	Speech-Language Pathologist	KY-2707	KY
3	235Z00000X	Speech-Language Pathologist	5941	SC

General Provider Information

NPI Number	:	1801925243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE D MEHAY M.A., CCC-SLP

Provider Business Mailing Address
First Line	:	1127 QUEENSBOROUGH BLVD STE 104
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-5431
Country	:	US
Telephone Number	:	843-216-0290
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 QUEENSBOROUGH BLVD STE 104
Second Line	:
City	:	MOUNT PLEASANT
State	:	SC
Zip	:	29464-5431
Country	:	US
Telephone Number	:	843-216-0290
Fax Number	:

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

Provider Enumeration Date	:	03/03/2007
Last Update Date	:	10/18/2020

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Directions to “ MELANIE D MEHAY M.A., CCC-SLP” Practice Location

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