Provider Demographics
NPI:1841568011
Name:ZAUG, MELISSA DANIELLE (MS,CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:DANIELLE
Last Name:ZAUG
Suffix:
Gender:F
Credentials:MS,CCC/SLP
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:DANIELLE
Other - Last Name:HATCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS,CCC/SLP
Mailing Address - Street 1:54 LIME MILL RD
Mailing Address - Street 2:
Mailing Address - City:LAGRANGEVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12540-6455
Mailing Address - Country:US
Mailing Address - Phone:845-228-2300
Mailing Address - Fax:
Practice Address - Street 1:81 SOUTH ST
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:NY
Practice Address - Zip Code:12563-3111
Practice Address - Country:US
Practice Address - Phone:845-878-2094
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-02
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017117235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist