MEDICARE: MELISSA MARIE YUSKO

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
1	235Z00000X	Speech-Language Pathologist	SP.10774	OH

General Provider Information

NPI Number	:	1003540998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARIE YUSKO

Provider Business Mailing Address
First Line	:	1984 TRAILWOOD DR
Second Line	:
City	:	TWINSBURG
State	:	OH
Zip	:	44087-2815
Country	:	US
Telephone Number	:	440-785-8163
Fax Number	:

Provider Business Practice Location Address
First Line	:	5885 LANDERBROOK DR
Second Line	:
City	:	MAYFIELD HEIGHTS
State	:	OH
Zip	:	44124-4045
Country	:	US
Telephone Number	:	216-446-2944
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2022
Last Update Date	:	07/15/2022

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Directions to “ MELISSA MARIE YUSKO ” Practice Location

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