Melissa Mazzaglia, SLP-CF
Speech-Language Pathologist, in Meridian, ID. Individual provider (NPI-1).
NPI number1164053138
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1164053138
- Entity type
- Individual (NPI-1)
- Name
- Melissa Mazzaglia
- Credential
- SLP-CF
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | TSLP-4219 | ID | Yes |
Practice location
1508 W Cayuse Creek Dr Ste 100Meridian, ID 83646-6135
Phone 208-996-0552 · Fax 208-914-6597
Mailing address
1508 W Cayuse Creek Dr Ste 100Meridian, ID 83646-6135
Phone 208-996-0552 · Fax 208-914-6597
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All 107 Speech-Language Pathologist providers in Meridian · All 4,112 providers in Meridian
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