Individual provider · Type 1 NPI

Jordan Mezzanotte, M.S. CCC-SLP

Speech-Language Pathologist · Fairmont, WV

NPI number 1114862471 Active

Practice location

401 Guffey St
Fairmont, WV 26554-4029

Mailing address

115 Frisco Ln
Bridgeport, WV 26330-5601

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP-2631 (WV)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1114862471

Jordan Mezzanotte, M.S. CCC-SLP's National Provider Identifier is 1114862471, issued on Apr 22, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Fairmont, WV. The record was last updated on Apr 22, 2026.