Individual
MELISSA LONG DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 769-4888
(662) 338-5439
Mailing address
1411 HIGHWAY 389, STARKVILLE, MS 39759-8451
(662) 769-4888
(662) 338-5439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S2545
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05631321
—
MS
05
—
07384811
—
MS
Enumeration date
05/16/2007
Last updated
03/09/2015
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