Melissa Lynn Boldizar, SP
Individual provider Active NPI Speech-Language Pathologist · Minerva, OH
NPI 1760403034 · NPPES record last updated Apr 21, 2017
Key facts
- NPI
- 1760403034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SP 5937 (OH)
- Practice address
- 406 East St
Minerva, OH 44657-1429 - Phone
- (330) 868-4332
- NPI assigned
- Jul 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP 5937 | OH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minerva Local Schools | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP 5937 | OH | Yes |
Addresses
Primary practice location
406 East St
Minerva, OH 44657-1429
Mailing address
406 East St
Minerva, OH 44657-1429
Phone (330) 868-4332
Other names
- Miss Melissa Lynn Milano
Other providers in Minerva, OH
- Rhonda Renee Aquino
- Jessica Dawn Argentine
- Bobbie Lynn Ashelman
- Hollie Jewel Bandy
- Edward Nelson Barr
- Lolly Ann Brown
- Kristen Rae Cappelli
- Kayla Nicole Carroll
- CC&S Ambulance Inc
- Teresa Craddock-Starr
All providers in Minerva, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.