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NPI Code Detail

MEDICARE: MRS. PATRICIA F MANDELL MA, CCC/SLP

MEDICARE: MRS. PATRICIA F MANDELL MA, CCC/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
1235Z00000XSpeech-Language PathologistSA3099FL

General Provider Information

NPI Number : 1639605090
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA F MANDELL MA, CCC/SLP
Provider Business Mailing Address
First Line : 787 37TH ST STE E100
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7304
Country : US
Telephone Number : 772-569-9747
Fax Number : 772-569-9979
Provider Business Practice Location Address
First Line : 787 37TH ST STE E100
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-7304
Country : US
Telephone Number : 772-569-9747
Fax Number : 772-569-9979
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2017
Last Update Date : 06/06/2017

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Directions to “ MRS. PATRICIA F MANDELL MA, CCC/SLP” Practice Location

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