Individual
MRS. MELISSA VELAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 S BOBCAT BND, BLOOMINGTON, IN 47403-8011
(787) 557-2577
Mailing address
618 S BOBCAT BND, BLOOMINGTON, IN 47403-8011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006115A
IN
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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