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NPI Code Detail

MEDICARE: MELISSA CAUGHLIN SLP

MEDICARE: MELISSA CAUGHLIN 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 Pathologist113036TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1188725OTHERTXCHRISTIAN HEALTHCARE MINISTRIES

General Provider Information

NPI Number : 1972084440
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CAUGHLIN SLP
Provider Business Mailing Address
First Line : 879 JOHN GEORGE LN
Second Line :
City : SANGER
State : TX
Zip : 76266-7578
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2244 BRINKER RD
Second Line :
City : DENTON
State : TX
Zip : 76208-6120
Country : US
Telephone Number : 940-320-6300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2018
Last Update Date : 08/23/2018

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Directions to “ MELISSA CAUGHLIN SLP” Practice Location

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