Provider Demographics
NPI:1528843539
Name:MEWBORN-BENDER, VELMA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:VELMA
Middle Name:
Last Name:MEWBORN-BENDER
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 1:3209 WESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-3173
Mailing Address - Country:US
Mailing Address - Phone:910-229-7291
Mailing Address - Fax:
Practice Address - Street 1:3209 WESTWOOD DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-3173
Practice Address - Country:US
Practice Address - Phone:910-229-7291
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX121328235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist