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NPI Code Detail

MEDICARE: MS. MELINDA J MARIANO MS-CCCSLP

MEDICARE: MS. MELINDA J MARIANO MS-CCCSLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist12062116VT
2235Z00000XSpeech-Language PathologistSA8296FL
3235Z00000XSpeech-Language Pathologist036323-01NY

General Provider Information

NPI Number : 1932142577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELINDA J MARIANO MS-CCCSLP
Provider Business Mailing Address
First Line : 19 ROBINSON RD
Second Line :
City : CLINTON
State : NY
Zip : 13323-1418
Country : US
Telephone Number : 315-853-6090
Fax Number :
Provider Business Practice Location Address
First Line : 19 ROBINSON RD
Second Line :
City : CLINTON
State : NY
Zip : 13323-1418
Country : US
Telephone Number : 315-853-6090
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 12/29/2025

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Directions to “ MS. MELINDA J MARIANO MS-CCCSLP” Practice Location

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