MEDICARE: MRS. MELISSA BRANHAM CALCUTT MSP, SLP-CCC

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	3351	SC

General Provider Information

NPI Number	:	1942281738
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA BRANHAM CALCUTT MSP, SLP-CCC

Provider Business Mailing Address
First Line	:	74 COBBLE STONE LN
Second Line	:
City	:	ELGIN
State	:	SC
Zip	:	29045-8323
Country	:	US
Telephone Number	:	803-438-9706
Fax Number	:

Provider Business Practice Location Address
First Line	:	74 COBBLE STONE LN
Second Line	:
City	:	ELGIN
State	:	SC
Zip	:	29045-8323
Country	:	US
Telephone Number	:	803-438-9706
Fax Number	:

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

Provider Enumeration Date	:	11/08/2005
Last Update Date	:	07/08/2007

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