Provider Demographics
NPI:1699201483
Name:MELGOZA-BECK, MARIA ELVA (MS, CCC, SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ELVA
Last Name:MELGOZA-BECK
Suffix:
Gender:F
Credentials:MS, CCC, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 WOODLOT CT
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1526
Mailing Address - Country:US
Mailing Address - Phone:281-660-5223
Mailing Address - Fax:
Practice Address - Street 1:10 WOODLOT CT
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1526
Practice Address - Country:US
Practice Address - Phone:281-660-5223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111722235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist