Provider Demographics
NPI:1285990697
Name:SCHRAGE, MELANIE (SLP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SCHRAGE
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2907 SHENANDOAH AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-3153
Mailing Address - Country:US
Mailing Address - Phone:919-433-6658
Mailing Address - Fax:
Practice Address - Street 1:2907 SHENANDOAH AVE
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-3153
Practice Address - Country:US
Practice Address - Phone:919-433-6658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-10
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1205154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist