Provider Demographics
NPI:1942748447
Name:EMANUELE, MELISSA FREEMAN (MA,CCC/SLP)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:FREEMAN
Last Name:EMANUELE
Suffix:
Gender:F
Credentials:MA,CCC/SLP
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:L
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MACCC/SLP
Mailing Address - Street 1:1550 RAYDALE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LOUSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40219
Mailing Address - Country:US
Mailing Address - Phone:502-968-6600
Mailing Address - Fax:
Practice Address - Street 1:1550 RAYDALE DRIVE
Practice Address - Street 2:
Practice Address - City:LOUSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219
Practice Address - Country:US
Practice Address - Phone:502-968-6600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-03
Last Update Date:2017-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist