Melinda Kay Mazenko
Individual provider Active NPI Speech-Language Pathologist · Thurmont, MD
NPI 1992275903 · NPPES record last updated Dec 3, 2018
Key facts
- NPI
- 1992275903
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 05613 (MD)
- Practice address
- 408 E Main St
Thurmont, MD 21788-2020 - Phone
- (240) 236-5100
- NPI assigned
- Dec 3, 2018
- Sex
- Female
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 05613 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 05613 | MD | Yes |
Addresses
Primary practice location
408 E Main St
Thurmont, MD 21788-2020
Mailing address
14511 Edgemont Rd
Smithsburg, MD 21783-1143
Other providers in Thurmont, MD
- Trinity Malecki
- Albert John Marcucci
- Alexander Antonio Martinez
- Maryland CVS Pharmacy LLC
- Mary Grace Mayer
- Michele Monet McBee
- Ralph Lee McBee
- Martrice McCall
- Joseph McCallion
- Ronald Joseph McCurdy
All providers in Thurmont, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.