Provider Demographics
NPI:1275017626
Name:GARRITY, MELISSA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:GARRITY
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 1:2584 HEREFORD RD
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2927
Mailing Address - Country:US
Mailing Address - Phone:321-364-2085
Mailing Address - Fax:321-510-0753
Practice Address - Street 1:2584 HEREFORD RD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2927
Practice Address - Country:US
Practice Address - Phone:321-364-2085
Practice Address - Fax:321-510-0753
Is Sole Proprietor?:No
Enumeration Date:2018-09-21
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist