Provider Demographics
NPI:1255006318
Name:PIZARRO, MELITZA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MELITZA
Middle Name:
Last Name:PIZARRO
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:MELITZA
Other - Middle Name:
Other - Last Name:PIZARRO RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3381 W WYOMING CIR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33611-4342
Mailing Address - Country:US
Mailing Address - Phone:407-948-0151
Mailing Address - Fax:
Practice Address - Street 1:3381 W WYOMING CIR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33611-4342
Practice Address - Country:US
Practice Address - Phone:407-948-0151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-11
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA14309235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist