Mary Mellencamp
NPI #1295394088 in Georgetown, Texas
Provider Information
- NPI Number
- 1295394088
- Entity Type
- Individual
- Name
- Mary Mellencamp
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 6, 2019
- Last Updated
- Nov 27, 2023
Practice Location
- Address
- 4402 WILLIAMS DR STE 115
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78628-1388
- Phone
- (832) 655-3754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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