Individual
KATHERINE MELILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3700 FOX STONE DR, RALEIGH, NC 27603-5179
(919) 981-6588
Mailing address
2617 NEEDLE PINE DR, APEX, NC 27539-9156
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12777
NC
Other
Enumeration date
01/09/2018
Last updated
02/21/2018
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