Provider Demographics
NPI:1184913618
Name:ORAVITS, MELISSA MARY (MA, CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:MARY
Last Name:ORAVITS
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:681 BLACK ANGUS DR
Mailing Address - Street 2:
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-6838
Mailing Address - Country:US
Mailing Address - Phone:919-414-6615
Mailing Address - Fax:
Practice Address - Street 1:12450 CLEVELAND RD STE 104
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8355
Practice Address - Country:US
Practice Address - Phone:919-772-0956
Practice Address - Fax:919-772-0957
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8458235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist