Doctor Name: | MELISSA L. BOSTWICK |
NPI Number: | 1003210154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 108069 |
Business Practice Address: | 9441 Lbj Fwy Ste 104 Dallas, TX - 752434637 |
Business Phone Number: | 8665759820 |
Business Fax Number: | |
Mailing Address: | 4928 Kessler Dr, FRISCO |
State: | TX |
Postal Code: | 750332770 |
Phone Number: | 5136215712 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 108069 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |