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NPI Code Detail

MEDICARE: MIKAYLA MELLIS

MEDICARE: MIKAYLA MELLIS
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 PathologistMD

General Provider Information

NPI Number : 1427982214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIKAYLA MELLIS
Provider Business Mailing Address
First Line : 223 BOSLEY AVE
Second Line :
City : TOWSON
State : MD
Zip : 21204-4312
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12 MEDSTAR BLVD STE 325
Second Line :
City : BEL AIR
State : MD
Zip : 21015-1817
Country : US
Telephone Number : 410-877-8078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ MIKAYLA MELLIS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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