Most Relevant Information
Provider Data
| NPI Number: | 1003199407 |
| Provider Name: | MELISSA LISSETH TELLO BAZALAR M.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 020825 |
Most Important Dates
| Enumeration Date: | 09/21/2011 |
| Last Updated: | 01/09/2015 |
Provider Practice Location
140 PELHAM RD APT 6L
NEW ROCHELLE
NY
108053119
Practice Location Phone/Fax
| Phone: | 3476663485 |
| Fax: |
Provider Mailing Location
140 PELHAM RD APT 6L
NEW ROCHELLE
NY
108053119
Provider Mailing Phone/Fax
| Phone: | 3476663485 |
| Fax: |