Doctor Name: | MELISSA R. BAIROS |
NPI Number: | 1407973670 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 298008 |
Business Practice Address: | 186 Highland Ave Somerville, MA - 021431507 |
Business Phone Number: | 6177764447 |
Business Fax Number: | |
Mailing Address: | 28 Spring St, SOMERVILLE |
State: | MA |
Postal Code: | 021432523 |
Phone Number: | 6176669144 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 298008 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |