Melissa Walsh, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Smithton, MO
NPI 1992209258 · NPPES record last updated Mar 21, 2018
Key facts
- NPI
- 1992209258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 0463711 (MO)
- Practice address
- 505 S Myrtle Ave
Smithton, MO 65350-1038 - Phone
- (660) 343-5317
- NPI assigned
- Mar 21, 2018
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0463711 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| School District R 6 Smithton | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 0463711 | MO | Yes |
Addresses
Primary practice location
505 S Myrtle Ave
Smithton, MO 65350-1038
Mailing address
505 S Myrtle Ave
Smithton, MO 65350-1038
Phone (660) 343-5317
Other providers in Smithton, MO
- Jason Kindle
- Lasting Impressions Group Home
- Ronald J Hicken
- Sandra Ross
- School District R 6 Smithton
- Shannon Dee Wassam
All providers in Smithton, MO · Speech-Language Pathologist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2018. 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.