Individual provider · Type 1 NPI

Kirby N. Mentillo, MA CCC-SLP

Speech-Language Pathologist · Milwaukie, OR

NPI number 1124440300 Active

Practice location

4560 SE International Way, Suite 101
Milwaukie, OR 97222-4628

Call (971) 206-5202 Map

Mailing address

9405 N Richmond Ave
Portland, OR 97203-1650

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X015179 (OR)
Speech-Language Pathologist 235Z00000XLL60331502 (WA)

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 1124440300

Kirby N. Mentillo, MA CCC-SLP's National Provider Identifier is 1124440300, issued on Jan 7, 2014. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Milwaukie, OR. The record was last updated on Jan 7, 2014.