Individual
MELISSA BUNNER SCAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 S CAPITOL AVE, CORYDON, IN 47112-1012
(812) 738-1987
Mailing address
PO BOX 547, CORYDON, IN 47112-0547
(812) 738-1987
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005346A
IN
Other
Enumeration date
08/19/2011
Last updated
07/04/2016
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