Provider Demographics
NPI:1841479367
Name:CZAPLA, MELISSA K (MS, CCC/SLP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:K
Last Name:CZAPLA
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1300 BRUCE B DOWNS BLVD
Mailing Address - Street 2:JAMES A HALEY VETERANS' HOSPITAL, SPEECH PATHOLOGY(126)
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33612-9217
Mailing Address - Country:US
Mailing Address - Phone:813-972-7529
Mailing Address - Fax:813-978-5812
Practice Address - Street 1:1300 BRUCE B DOWNS BLVD
Practice Address - Street 2:JAMES A HALEY VETERANS' HOSPITAL, SPEECH PATHOLOGY(126)
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9217
Practice Address - Country:US
Practice Address - Phone:813-972-7529
Practice Address - Fax:813-978-5812
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 8161235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist