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NPI Code Detail

MEDICARE: MELISSA MCDERMOTT CCC-SLP

MEDICARE:   MELISSA  MCDERMOTT  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 PathologistSP.14506OH

General Provider Information

NPI Number : 1831433762
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MCDERMOTT CCC-SLP
Provider Business Mailing Address
First Line : 25221 MILES RD UNIT F
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5494
Country : US
Telephone Number : 216-514-1400
Fax Number :
Provider Business Practice Location Address
First Line : 25221 MILES RD UNIT F
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5494
Country : US
Telephone Number : 216-514-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2012
Last Update Date : 10/18/2021

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Directions to “ MELISSA MCDERMOTT CCC-SLP” Practice Location

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