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NPI Code Detail

MEDICARE: MS. MELISSA FRANCES POWELL M.S. CCC-SLP

MEDICARE:  MS. MELISSA FRANCES POWELL  M.S. CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist111706TX

General Provider Information

NPI Number : 1053896068
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA FRANCES POWELL M.S. CCC-SLP
Provider Business Mailing Address
First Line : 1945 N GARRETT AVE APT 2006
Second Line :
City : DALLAS
State : TX
Zip : 75206-8684
Country : US
Telephone Number : 978-502-2184
Fax Number :
Provider Business Practice Location Address
First Line : 1945 N GARRETT AVE APT 2006
Second Line :
City : DALLAS
State : TX
Zip : 75206-8684
Country : US
Telephone Number : 978-502-2184
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2018
Last Update Date : 09/26/2018

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Directions to “ MS. MELISSA FRANCES POWELL M.S. CCC-SLP” Practice Location

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