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NPI Code Detail

MEDICARE: MELISSA HARDY M.S. CCC-SLP

MEDICARE: MELISSA HARDY 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
1235Z00000XSpeech-Language Pathologist146.009807IL

General Provider Information

NPI Number : 1821452517
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HARDY M.S. CCC-SLP
Provider Business Mailing Address
First Line : 601 W LINCOLN AVE
Second Line :
City : CASEYVILLE
State : IL
Zip : 62232-1306
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 601 W LINCOLN AVE
Second Line :
City : CASEYVILLE
State : IL
Zip : 62232-1306
Country : US
Telephone Number : 618-477-9919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2016
Last Update Date : 04/08/2016

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

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