Provider Demographics
NPI:1023673134
Name:MELNICK, KATHERINE MORGAN (M ED, CCC-SLP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:MORGAN
Last Name:MELNICK
Suffix:
Gender:F
Credentials:M ED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 REITA ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:315 JOHNNY MERCER BLVD STE D
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-2223
Practice Address - Country:US
Practice Address - Phone:912-235-2166
Practice Address - Fax:912-235-2907
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-03
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty