| Doctor Name: | DR. MELODY S. MARTIN |
| NPI Number: | 1689677734 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D., AU.D., CCC-SP |
| License Number: | 10287 |
| Business Practice Address: | 4720 W Waco Dr Waco, TX - 767107016 |
| Business Phone Number: | 2547329741 |
| Business Fax Number: | 2547329745 |
| Mailing Address: | 4720 W Waco Dr, WACO |
| State: | TX |
| Postal Code: | 767107016 |
| Phone Number: | 2547329741 |
| Fax Number: | 2547329745 |
| NPI Enumeration Date: | 05/23/2005 |
| NPI Last Update Date: | 05/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 10287 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |