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General NPI Number Information
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NPI Number | 1013534726
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Entity Type | Individual
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Provider Name | MELISSA MCCARTHY M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/29/2020
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1390 PICCARD DR STE 210
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City | ROCKVILLE
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State | MD
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Zip | 20850-4583
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Country | US
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Telephone | 301-424-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 15303 GABLE RIDGE CT APT F
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City | ROCKVILLE
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State | MD
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Zip | 20850-4640
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Country | US
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Telephone | 631-294-8968
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 09035
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License Number State | MD
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