Individual provider · Type 1 NPI

Mary Mellencamp

Speech-Language Pathologist · Georgetown, TX

NPI number 1295394088 Active

Practice location

4402 Williams Dr Ste 115
Georgetown, TX 78628-1388

Call (832) 655-3754 Map

Mailing address

1500 Cullen Ave
Austin, TX 78757-2529

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X114667 (TX)

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 1295394088

Mary Mellencamp's National Provider Identifier is 1295394088, issued on Jun 6, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Georgetown, TX. The record was last updated on Nov 27, 2023.