Martin, Melody S.

Martin, Melody S. is an individual health care provider with primary practice located at 4720 W Waco Dr , Waco TX 76710-7016. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Martin, Melody S. can be contacted via phone (254) 732-9741.

Contact Information

Primary practice address
4720 W Waco Dr Waco TX 76710-7016
Phone: (254) 732-9741
Fax: (254) 732-9745
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 10287 Texas
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 50259 Texas

Profile Details

NPI number 1689677734
LBN Legal business name Martin, Melody S.
Credentials PH.D., AU.D., CCC-SP
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689677734 NPPES
Texas MEDICAID 089441202

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