Provider Demographics
NPI:1053138586
Name:CHAPMAN, MELODY LYNN
Entity type:Individual
Prefix:MS
First Name:MELODY
Middle Name:LYNN
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 BUTCHER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MOSCOW MILLS
Mailing Address - State:MO
Mailing Address - Zip Code:63362-1864
Mailing Address - Country:US
Mailing Address - Phone:636-485-6823
Mailing Address - Fax:
Practice Address - Street 1:138 TOMAHAWK DR
Practice Address - Street 2:
Practice Address - City:ELSBERRY
Practice Address - State:MO
Practice Address - Zip Code:63343-1151
Practice Address - Country:US
Practice Address - Phone:573-898-5554
Practice Address - Fax:573-898-3140
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-25
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20240380922355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant