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NPI Code Detail

MEDICARE: CRISTINA MENNELLA M.S. CCC-SLP

MEDICARE: CRISTINA MENNELLA M.S. 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 PathologistSLP6411AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770865750
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA MENNELLA M.S. CCC-SLP
Provider Business Mailing Address
First Line : 9321 E SUMMER TRL
Second Line :
City : TUCSON
State : AZ
Zip : 85749-8656
Country : US
Telephone Number : 520-749-4391
Fax Number :
Provider Business Practice Location Address
First Line : 108 W UNIVERSITY DR
Second Line :
City : MESA
State : AZ
Zip : 85201-5818
Country : US
Telephone Number : 480-668-1917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2011
Last Update Date : 03/04/2026

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Directions to “ CRISTINA MENNELLA M.S. CCC-SLP” Practice Location

Language Start Address Practice Location
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