Provider Demographics
NPI:1245631704
Name:CHALEF, MELISSA ROBIN (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ROBIN
Last Name:CHALEF
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 WING MILL RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-3139
Mailing Address - Country:US
Mailing Address - Phone:404-375-4950
Mailing Address - Fax:
Practice Address - Street 1:43 WING MILL RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30350-3139
Practice Address - Country:US
Practice Address - Phone:404-375-4950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 13123235Z00000X
NY023781-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist