Bethany Pierce Mellstrom

Speech-Language Pathologist · Burlington, MA

Individual Active NPI

NPI number 1407911126

Practice location

111 S Bedford St
Burlington, MA 01803-5145
Phone
(781) 272-2100

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NPI record

NPI
1407911126
Entity type
Individual (Type 1)
Enumeration date
December 22, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 6059 MA

Mailing address

481a Washington St
Brighton, MA 02135-2643
Phone
(413) 522-2174

About Bethany Mellstrom

Bethany Pierce Mellstrom is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 111 S Bedford St, Burlington, MA 01803-5145. The NPI number 1407911126 was assigned on December 22, 2006 and the record was last updated on July 8, 2007.

Bethany Mellstrom lists a license in the registry: #6059 (MA) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bethany Pierce Mellstrom?

The NPI number is 1407911126.

What is the phone number of Bethany Mellstrom?

The phone number listed for the practice location is (781) 272-2100.

Where is Bethany Mellstrom located?

111 S Bedford St, Burlington, MA 01803-5145.

What is the taxonomy code for Bethany Mellstrom?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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