MEDICARE: MELANIE VAN NOY MS, 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	106628	TX
2	174N00000X	Lactation Consultant (Non-RN)

General Provider Information

NPI Number	:	1235496696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE VAN NOY MS, CCC-SLP

Provider Business Mailing Address
First Line	:	14517 MEADOWLAND CIR
Second Line	:
City	:	NEWARK
State	:	TX
Zip	:	76071-9103
Country	:	US
Telephone Number	:	817-381-8272
Fax Number	:

Provider Business Practice Location Address
First Line	:	14517 MEADOWLAND CIR
Second Line	:
City	:	NEWARK
State	:	TX
Zip	:	76071-9103
Country	:	US
Telephone Number	:	817-381-8272
Fax Number	:

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

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	09/29/2025

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