Individual
MELANIE GAYLE PERKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP. CCC-SLP
Contact information
Practice address
110 HIGHLAND CENTER DR, COLUMBIA, SC 29203-9247
(803) 408-3277
(803) 408-3299
Mailing address
106 LINCREEK DR, COLUMBIA, SC 29212-8101
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
577
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1996
—
SC
Enumeration date
01/18/2016
Last updated
05/26/2020
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