Provider Demographics
NPI:1942281738
Name:CALCUTT, MELISSA BRANHAM (MSP, SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:BRANHAM
Last Name:CALCUTT
Suffix:
Gender:F
Credentials:MSP, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 COBBLE STONE LN
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:SC
Mailing Address - Zip Code:29045-8323
Mailing Address - Country:US
Mailing Address - Phone:803-438-9706
Mailing Address - Fax:
Practice Address - Street 1:74 COBBLE STONE LN
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:SC
Practice Address - Zip Code:29045-8323
Practice Address - Country:US
Practice Address - Phone:803-438-9706
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3351235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist