Individual
MISS MELVENIA MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4404 CARY DR, SNELLVILLE, GA 30039-6510
(770) 760-0406
(770) 760-9047
Mailing address
4404 CARY DR, SNELLVILLE, GA 30039-6510
(770) 760-0406
(770) 760-9047
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003002
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000626337D
—
GA
Enumeration date
12/18/2006
Last updated
07/09/2007
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