Melody Lynn Chapman

Individual provider Active NPI Speech-Language Assistant · Elsberry, MO

NPI 1053138586 · NPPES record last updated Sep 25, 2024

Key facts

NPI
1053138586
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
2024038092 (MO)
Practice address
138 Tomahawk Dr
Elsberry, MO 63343-1151
Phone
(573) 898-5554
Fax
(573) 898-3140
NPI assigned
Sep 25, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2024038092MOMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln County R2 School District Past
since Sep 29, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 2024038092 MO Yes

Addresses

Primary practice location

138 Tomahawk Dr
Elsberry, MO 63343-1151

Mailing address

27 Butcher Creek Dr
Moscow Mills, MO 63362-1864
Phone (636) 485-6823

Other providers in Elsberry, MO

All providers in Elsberry, MO · Speech-Language Assistant in Missouri

Sources for this page

Verify at the official NPI Registry.