Provider Demographics
NPI:1487845145
Name:TRUE, MELISSA GAYLE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:GAYLE
Last Name:TRUE
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Gender:F
Credentials:MS, CCC-SLP
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Mailing Address - Street 1:520 S 7TH ST
Mailing Address - Street 2:PHYSICAL MEDICINE DEPARTMENT
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-1038
Mailing Address - Country:US
Mailing Address - Phone:812-885-3211
Mailing Address - Fax:812-885-3217
Practice Address - Street 1:520 S 7TH ST
Practice Address - Street 2:PHYSICAL MEDICINE DEPARTMENT
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-1038
Practice Address - Country:US
Practice Address - Phone:812-885-3211
Practice Address - Fax:812-885-3217
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
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Provider Licenses
StateLicense IDTaxonomies
IN22004157A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist