Individual
JORDAN MEZZANOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
401 GUFFEY ST, FAIRMONT, WV 26554-4029
(304) 363-2500
Mailing address
115 FRISCO LN, BRIDGEPORT, WV 26330-5601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP-2631
WV
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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