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NPI Code Detail

MEDICARE: MRS. MELISHA ANNE BUDWORTH M.S. CCC-SLP

MEDICARE: MRS. MELISHA ANNE BUDWORTH 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
1235Z00000XSpeech-Language PathologistLL60032280WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417106618
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISHA ANNE BUDWORTH M.S. CCC-SLP
Provider Business Mailing Address
First Line : 9050 384TH AVE SE
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-9637
Country : US
Telephone Number : 425-888-3348
Fax Number : 425-888-3347
Provider Business Practice Location Address
First Line : 9050 384TH AVE SE
Second Line :
City : SNOQUALMIE
State : WA
Zip : 98065-9637
Country : US
Telephone Number : 425-888-3347
Fax Number : 425-999-3348
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2008
Last Update Date : 04/01/2025

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Directions to “ MRS. MELISHA ANNE BUDWORTH M.S. CCC-SLP” Practice Location

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