Individual
SALLY MELLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3256 RIVER BREEZE CT, SAINT CHARLES, MO 63301-4531
(816) 803-1011
Mailing address
3256 RIVER BREEZE CT, SAINT CHARLES, MO 63301-4531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2014012980
MO
Other
Enumeration date
06/11/2014
Last updated
02/28/2025
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