Provider Demographics
NPI:1447511134
Name:CARPENTER, MELISSA (SLP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 AUTUMN SPRINGS CT
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8272
Mailing Address - Country:US
Mailing Address - Phone:615-614-8833
Mailing Address - Fax:615-614-8811
Practice Address - Street 1:508 AUTUMN SPRINGS CT
Practice Address - Street 2:SUITE 1B
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8272
Practice Address - Country:US
Practice Address - Phone:615-614-8833
Practice Address - Fax:615-614-8811
Is Sole Proprietor?:No
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist