MEDICARE: MELANIE MCDANIEL 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
1	235Z00000X	Speech-Language Pathologist	107987	TX

General Provider Information

NPI Number	:	1497175194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE MCDANIEL M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	10905 GRASSMERE CT
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-1610
Country	:	US
Telephone Number	:	512-699-6045
Fax Number	:

Provider Business Practice Location Address
First Line	:	10905 GRASSMERE CT
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78739-1610
Country	:	US
Telephone Number	:	512-699-6045
Fax Number	:

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

Provider Enumeration Date	:	04/21/2014
Last Update Date	:	10/15/2020

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Directions to “ MELANIE MCDANIEL M.S., CCC-SLP” Practice Location

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