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Individual
MIKAYLA MARIE BELLARDINI
Active
Individual
MIKAYLA MARIE BELLARDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
117146
TX
235Z00000X
Speech-Language Pathologist
6654
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117146
TEXAS LLR
TX
01
—
14258638
ASHA
—
01
—
6654
SC LLR
SC
Enumeration date
08/22/2019
Last updated
09/12/2022
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