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NPI Code Detail

MEDICARE: MELANIE LORA STINNETT CCC-SLP

MEDICARE:   MELANIE LORA STINNETT  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 Pathologist2011017828MO

General Provider Information

NPI Number : 1467738419
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE LORA STINNETT CCC-SLP
Provider Business Mailing Address
First Line : 2864 S NETTLETON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5970
Country : US
Telephone Number : 417-324-7607
Fax Number : 417-708-0889
Provider Business Practice Location Address
First Line : 2864 S NETTLETON AVE
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65807-5970
Country : US
Telephone Number : 417-324-7607
Fax Number : 417-708-0889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2011
Last Update Date : 05/23/2025

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Directions to “ MELANIE LORA STINNETT CCC-SLP” Practice Location

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