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MS. MARYELLEN MELLEN

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1215231063

Individual Registrant:
MS. MARYELLEN  MELLEN 
Gender: F
Sole Proprietor

Location and contact information for practice:
81 GROUSE LN  PERKINSVILLE, VT 05151-6600 US
Tel: 802-795-0033  Fax: --

Contact information for business:
81 GROUSE LN  PERKINSVILLE, VT 05151-6600 US
Tel: 802-795-0033  Fax: --

Registration Information:
NPI: 1215231063
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
VT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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