Basic Information
Provider Information
NPI: 1508175837
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURSKI
FirstName: MELISSA
MiddleName: ANNE
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: BARDEN
OtherFirstName: MELISSA
OtherMiddleName: ANNE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 350 NEW FIDELITY CT
Address2:  
City: GARNER
State: NC
PostalCode: 275292665
CountryCode: US
TelephoneNumber: 9192582664
FaxNumber: 4106484878
Practice Location
Address1: 844 WASHINGTON RD
Address2: SUITE 101
City: WESTMINSTER
State: MD
PostalCode: 211575740
CountryCode: US
TelephoneNumber: 4108765600
FaxNumber: 4108761623
Other Information
ProviderEnumerationDate: 10/05/2010
LastUpdateDate: 02/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
235Z00000X04562MDY Speech, Language and Hearing Service ProvidersSpeech-Language Pathologist 

No ID Information.


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