National Provider Identifier

Melissa Mangino, M.S., CCC-SLP

Melissa Mangino, M.S., CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Le Roy, NY and a listed phone number of (585) 344-7900.

NPI 1053625087Le Roy, NYSpeech-Language Pathologist

Profile Overview

NPI
1053625087
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
August 02, 2010
Last Updated
August 22, 2013

Practice Location

  • 80 Munson St
  • Le Roy, NY 14482-8933

Phone: (585) 344-7900

Mailing Address

  • 11 Dewey Ave
  • Batavia, NY 14020-2905

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1053625087
Entity Type
Individual
Last Name
Mangino
First Name
Melissa
Name Prefix
Mrs.
Credential
M.S., CCC-SLP
Mailing Street Address
11 Dewey Ave
Mailing City
Batavia
Mailing State
NY
Mailing ZIP Code
14020-2905
Mailing Country
US
Mailing Phone
(585) 409-8369
Practice Street Address
80 Munson St
Practice City
Le Roy
Practice State
NY
Practice ZIP Code
14482-8933
Practice Country
US
Practice Phone
(585) 344-7900
Enumeration Date
August 02, 2010
Last Updated
August 22, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)