Doctor Name: | MELISSA B BACHICHA |
NPI Number: | 1992085161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22005346A |
Business Practice Address: | 4900 Shamrock Drive Suites 100-102 Evansville, IN - 477157325 |
Business Phone Number: | 8124753494 |
Business Fax Number: | 8124753494 |
Mailing Address: | 4900 Shamrock Drive, Suites 100-102 EVANSVILLE |
State: | IN |
Postal Code: | 477157325 |
Phone Number: | 8124753494 |
Fax Number: | |
NPI Enumeration Date: | 08/19/2011 |
NPI Last Update Date: | 08/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22005346A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |