Doctor Name: | MELODY EISENBACH BENSON |
NPI Number: | 1881010601 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC/SLP |
License Number: | 16586 |
Business Practice Address: | 2004 Topaz Dr Carrollton, TX - 750104511 |
Business Phone Number: | 9728212866 |
Business Fax Number: | |
Mailing Address: | 2004 Topaz Dr, CARROLLTON |
State: | TX |
Postal Code: | 750104511 |
Phone Number: | 9728212866 |
Fax Number: | |
NPI Enumeration Date: | 03/17/2014 |
NPI Last Update Date: | 03/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 16586 |
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 |