Individual
MR. ERIC MENDILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS CCC-SLP
Contact information
Practice address
4 HAWTHORNE ST, WATERTOWN, MA 02472-3825
(617) 733-5015
Mailing address
4 HAWTHORNE ST, WATERTOWN, MA 02472-3825
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7336
MA
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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