Provider Demographics
NPI:1225913551
Name:ROBERTSON, MELINA (MA CF SLP)
Entity type:Individual
Prefix:
First Name:MELINA
Middle Name:
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:MA CF SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 HERITAGE RIVERWOOD DR APT B
Mailing Address - Street 2:
Mailing Address - City:CENTRAL
Mailing Address - State:SC
Mailing Address - Zip Code:29630-4558
Mailing Address - Country:US
Mailing Address - Phone:906-630-0611
Mailing Address - Fax:
Practice Address - Street 1:995 S OAK ST
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-3866
Practice Address - Country:US
Practice Address - Phone:864-886-4550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-06
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist