Provider Demographics
NPI:1477928083
Name:JARZYNKA, MELANIE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:
Last Name:JARZYNKA
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 SUGARTREE LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37064-3024
Mailing Address - Country:US
Mailing Address - Phone:615-278-6805
Mailing Address - Fax:
Practice Address - Street 1:405 SUGARTREE LN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-3024
Practice Address - Country:US
Practice Address - Phone:615-278-6805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-08
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002098235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist