Individual
MCKENZIE RAE MENGELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
115 SUDBROOK LN STE A, PIKESVILLE, MD 21208-4184
(410) 358-1997
Mailing address
4016 FOREST VALLEY RD, PARKVILLE, MD 21234-1440
(410) 736-8997
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09818
MD
Other
Enumeration date
09/19/2020
Last updated
01/21/2026
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