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NPI Code Detail

MEDICARE: MELISSA DECKERT

MEDICARE: MELISSA DECKERT
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 PathologistND

General Provider Information

NPI Number : 1629815402
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DECKERT
Provider Business Mailing Address
First Line : 309 2ND ST E
Second Line :
City : BOTTINEAU
State : ND
Zip : 58318-1104
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 309 2ND ST E
Second Line :
City : BOTTINEAU
State : ND
Zip : 58318-1104
Country : US
Telephone Number : 701-228-3743
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2024
Last Update Date : 07/10/2024

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Directions to “ MELISSA DECKERT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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