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NPI Code Detail

MEDICARE: MRS. MELVA G. MCINTYRE M.A.,CCC-SLP

MEDICARE: MRS. MELVA G. MCINTYRE 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
1235Z00000XSpeech-Language Pathologist7773NC

General Provider Information

NPI Number : 1881751014
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELVA G. MCINTYRE M.A.,CCC-SLP
Provider Business Mailing Address
First Line : 10254 CULPEPPER CT
Second Line :
City : HARRISBURG
State : NC
Zip : 28075-6624
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3404 LINDEN BERRY LN
Second Line :
City : CHARLOTTE
State : NC
Zip : 28269-1300
Country : US
Telephone Number : 704-258-1724
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2007
Last Update Date : 01/27/2013

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