Individual
MRS. MELISSA J BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1209 S APPLE TREE PL, BLOOMINGTON, IN 47403-4551
(812) 320-8213
Mailing address
1209 S APPLE TREE PL, BLOOMINGTON, IN 47403-4551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005245A
IN
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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