Individual
BETHANY PIERCE MELLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S BEDFORD ST, BURLINGTON, MA 01803-5145
(781) 272-2100
Mailing address
481A WASHINGTON ST, BRIGHTON, MA 02135-2643
(413) 522-2174
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6059
MA
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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