Mindy Noel McClain-Otto
Speech-Language Pathologist, in Vero Beach, FL. Individual provider (NPI-1).
NPI number1124477047
StatusActive
Last updated in NPPESJul 1, 2016
Details
- NPI
- 1124477047
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mindy Noel McClain-Otto
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2016
- Last updated
- Jul 1, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SI2833 | FL | Yes |
Practice location
2050 40th AveSuite 1
Vero Beach, FL 32968-2467
Phone 772-567-0061
Mailing address
2795 Floresta Dr NePalm Bay, FL 32905-5522
Phone 321-508-4393
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