MEDICARE: MELISSA CASTELBLANCO SLP

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	032858	NY

General Provider Information

NPI Number	:	1497265862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA CASTELBLANCO SLP

Provider Business Mailing Address
First Line	:	40 LANDSDOWNE LN
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3848
Country	:	US
Telephone Number	:	585-205-8945
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 LANDSDOWNE LN
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3848
Country	:	US
Telephone Number	:	585-205-8945
Fax Number	:

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

Provider Enumeration Date	:	10/11/2017
Last Update Date	:	04/30/2026

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Directions to “ MELISSA CASTELBLANCO SLP” Practice Location

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