MEDICARE: MELISSA L. DONOVAN MS, 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	41YS00658500	NJ

General Provider Information

NPI Number	:	1962771311
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA L. DONOVAN MS, CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 97
Second Line	:
City	:	ANNANDALE
State	:	NJ
Zip	:	08801
Country	:	US
Telephone Number	:	908-652-4403
Fax Number	:	908-652-2010

Provider Business Practice Location Address
First Line	:	1128 RT 31 NORTH
Second Line	:
City	:	LEBANON
State	:	NJ
Zip	:	08833
Country	:	US
Telephone Number	:	908-652-4403
Fax Number	:	908-652-2010

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

Provider Enumeration Date	:	12/14/2011
Last Update Date	:	06/19/2026

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Directions to “ MELISSA L. DONOVAN MS, CCC-SLP” Practice Location

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