Mary Mellencamp
Mary Mellencamp is a Speech-Language Pathologist in Georgetown, Texas. Licensed in Texas. Registered with an NPI since 2019.
- Licensed in
- TX
- In the registry since
- 2019
Practice location Address checks out
4402 Williams Dr Ste 115Georgetown, TX 78628-1388
Phone: (832) 655-3754
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 114667 (TX) |
|---|
Record details
| NPI number | 1295394088 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 6, 2019 |
| Last updated in NPPES | November 27, 2023 |
| Mailing address | 1500 Cullen Ave, Austin, TX 78757-2529 |
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