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MS. MARYELLEN MELLEN
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1215231063
Individual Registrant:MS. MARYELLEN MELLEN
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
81 GROUSE LN PERKINSVILLE, VT 05151-6600 US
Tel: 802-795-0033 Fax: --
Tel: 802-795-0033 Fax: --
Contact information for business:
81 GROUSE LN PERKINSVILLE, VT 05151-6600 US
Tel: 802-795-0033 Fax: --
Tel: 802-795-0033 Fax: --
Registration Information:
NPI: 1215231063
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | VT |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
