Individual
MELONIE MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., CCC-SLP
Contact information
Practice address
210 WYONIA WAY, FAYETTEVILLE, GA 30215-2479
(404) 919-6594
Mailing address
210 WYONIA WAY, FAYETTEVILLE, GA 30215-2479
(404) 919-6594
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000895914A
—
GA
Enumeration date
12/19/2006
Last updated
01/05/2025
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