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NPI Code Detail

MEDICARE: MRS. MELISSA SARAH BECK MA, CCC-SLP

MEDICARE: MRS. MELISSA SARAH BECK MA, 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 PathologistSP13383CA

General Provider Information

NPI Number : 1528264843
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA SARAH BECK MA, CCC-SLP
Provider Business Mailing Address
First Line : 28202 CABOT RD STE 300
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-1249
Country : US
Telephone Number : 949-365-5858
Fax Number :
Provider Business Practice Location Address
First Line : 28202 CABOT RD STE 300
Second Line :
City : LAGUNA NIGUEL
State : CA
Zip : 92677-1249
Country : US
Telephone Number : 949-365-5858
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2007
Last Update Date : 05/09/2016

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