MEDICARE: MS. MELANIE CHRISTINE HOLCOMBE 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
1	235Z00000X	Speech-Language Pathologist	5352	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326253519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE CHRISTINE HOLCOMBE CCC-SLP

Provider Business Mailing Address
First Line	:	9534 PINE COVE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71118-4121
Country	:	US
Telephone Number	:	318-230-1006
Fax Number	:

Provider Business Practice Location Address
First Line	:	9534 PINE COVE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71118-4121
Country	:	US
Telephone Number	:	318-230-1006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2007
Last Update Date	:	07/08/2007

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Directions to “ MS. MELANIE CHRISTINE HOLCOMBE CCC-SLP” Practice Location

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