Active NPIIndividual providerSole proprietor

Bethany P Mellstrom

Speech-Language Pathologist, in Burlington, Massachusetts

NPI Number1407911126
Practice location
111 S Bedford St, Burlington, MA 01803-5145
Fax
—
Last updated
July 8, 2007

Bethany Pierce Mellstrom is a Speech-Language Pathologist, based in Burlington, MA. Bethany Pierce Mellstrom practices in Burlington, MA. The NPI Number for Bethany Pierce Mellstrom is 1407911126 and holds a License No. 6059 (MA). The current practice location address for Bethany Pierce Mellstrom is 111 S Bedford St, Burlington, MA 01803-5145 and can be reached out via phone at 781-272-2100.

Provider Profile Details

NPI Number
1407911126
Provider Name
Bethany Pierce Mellstrom
Provider Entity Type
Individual
Gender
Female
Address
111 S Bedford St, Burlington, MA 01803-5145
Phone Number
781-272-2100
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 22, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 S Bedford St
Burlington, MA 01803-5145
Zip
01803-5145
Phone Number
781-272-2100
Burlington, MA 01803Get directions →

Provider Business Mailing Address Details

Address
481A Washington St
Brighton, MA 02135-2643
City
Brighton
State
MA
Zip
02135-2643
Phone Number
413-522-2174

License Information

License Number
6059
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethany P Mellstrom?

The NPI number of Bethany P Mellstrom is 1407911126. It was assigned on December 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Bethany P Mellstrom?

Bethany P Mellstrom is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 6059.

Where does Bethany P Mellstrom practice?

The practice location is 111 S Bedford St, Burlington, MA 01803-5145. The office can be reached at 781-272-2100 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407911126 directly on the NPPES registry website.

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