Individual
MELISSA SUZANNE MONTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
169 ASHLEY AVE, MSC 335, CHARLESTON, SC 29425-8905
(843) 876-7200
(843) 727-6401
Mailing address
169 ASHLEY AVE, MSC 335, CHARLESTON, SC 29425-8905
(843) 876-7200
(843) 727-6401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4131
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4131
LICENSE NUMER
SC
Enumeration date
06/04/2007
Last updated
02/18/2013
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