Individual
MRS. MELISSA ANNE HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
953 PEREGRINE DR, COLUMBUS, IN 47203-1777
(812) 376-3741
Mailing address
953 PEREGRINE DR, COLUMBUS, IN 47203-1777
(812) 376-3741
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002218A
IN
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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