Whalio Doctors

NPI 1063672434

Melanie Jill Mazur, CCCSLP

Practitioner Speech-Language Pathologist Bloomington, IN

Practice location

Address
200 S Jordan Ave, Bloomington, IN 47405-7002
Phone
(812) 855-3605

Registered specialties

Speech-Language Pathologist Primary
Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 22004537A (IN)

Registry record

NPI
1063672434
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jun 2008
Record last updated
10 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.