Provider Demographics
NPI:1063619047
Name:WHEAT, MELISSA ATTKISSON (MS, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ATTKISSON
Last Name:WHEAT
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 MILLSAPS DR
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402-1348
Mailing Address - Country:US
Mailing Address - Phone:228-222-4337
Mailing Address - Fax:228-222-4337
Practice Address - Street 1:107 MILLSAPS DR
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402-1348
Practice Address - Country:US
Practice Address - Phone:228-222-4337
Practice Address - Fax:228-222-4337
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51625231H00000X
LA6553237600000X
MSA2309231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter