Individual
MELISSA SCRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
16 KENNETH TER E, MIDDLETOWN, NJ 07748-1227
(732) 236-5805
Mailing address
16 KENNETH TER E, MIDDLETOWN, NJ 07748-1227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
022665-1
NY
235Z00000X
Speech-Language Pathologist
41YS00728900
NJ
Other
Enumeration date
06/09/2013
Last updated
06/09/2013
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