Most Relevant Information
Provider Data
| NPI Number: | 1003210154 |
| Provider Name: | MELISSA L. BOSTWICK M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 108069 |
Most Important Dates
| Enumeration Date: | 10/17/2014 |
| Last Updated: | 10/17/2014 |
Provider Practice Location
9441 LBJ FWY STE 104
DALLAS
TX
752434637
Practice Location Phone/Fax
| Phone: | 8665759820 |
| Fax: |
Provider Mailing Location
4928 KESSLER DR
FRISCO
TX
750332770
Provider Mailing Phone/Fax
| Phone: | 5136215712 |
| Fax: |