Individual
MICHAEL MENDICINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,SLP
Contact information
Practice address
102 SMITHFIELD ST, BUCKHANNON, WV 26201-2620
(304) 624-6554
(304) 624-5223
Mailing address
102 SMITHFIELD ST, BUCKHANNON, WV 26201-2620
(304) 624-6554
(304) 624-5223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011485
—
WV
Enumeration date
04/09/2008
Last updated
04/09/2008
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