Melissa Bero

Individual provider Active NPI Speech-Language Pathologist · Vermilion, OH

NPI 1679356232 · NPPES record last updated Aug 17, 2023

Key facts

NPI
1679356232
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
146015523 (IL)
Practice address
1045 Riverside Dr
Vermilion, OH 44089-1809
Phone
(440) 552-7164
NPI assigned
Aug 17, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
146015523ILMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 146015523 IL Yes

Addresses

Primary practice location

1045 Riverside Dr
Vermilion, OH 44089-1809

Mailing address

1045 Riverside Dr
Vermilion, OH 44089-1809

Other providers in Vermilion, OH

All providers in Vermilion, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.