MRS. Melynda Rae Costa

NPI #1124379961 in Channahon, Illinois

Provider Information

NPI Number: 1124379961
Entity Type: Individual
Name: MRS. Melynda Rae Costa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Sep 19, 2012
Last Updated: Jan 19, 2026

Practice Location

Address: 26349 S LYNDSAY DR
City: Channahon
State: Illinois
ZIP Code: 60410-5522
Phone: (815) 521-0372

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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