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NPI Code Detail

MEDICARE: MELISSA ANN STEWART SLP

MEDICARE: MELISSA ANN STEWART 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 PathologistSI60276274WA

General Provider Information

NPI Number : 1538418413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN STEWART SLP
Provider Business Mailing Address
First Line : 950 SE REGATTA DR
Second Line : #101
City : OAK HARBOR
State : WA
Zip : 98277-5451
Country : US
Telephone Number : 360-679-1039
Fax Number :
Provider Business Practice Location Address
First Line : 950 SE REGATTA DR
Second Line : #101
City : OAK HARBOR
State : WA
Zip : 98277-5451
Country : US
Telephone Number : 360-679-1039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2012
Last Update Date : 09/06/2012

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Directions to “ MELISSA ANN STEWART SLP” Practice Location

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