Most Relevant Information
Provider Data
| NPI Number: | 1003260118 |
| Provider Name: | MELODY COSTELLO M.S. CCC/SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 107255 |
Most Important Dates
| Enumeration Date: | 04/15/2016 |
| Last Updated: | 04/15/2016 |
Provider Practice Location
17419 SAXON DR
HOUSTON
TX
770951133
Practice Location Phone/Fax
| Phone: | 9362501167 |
| Fax: |
Provider Mailing Location
17419 SAXON DR
HOUSTON
TX
770951133
Provider Mailing Phone/Fax
| Phone: | 9362501167 |
| Fax: |