Individual
KATIE MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
7123 HIGH POINTE LN, CINCINNATI, OH 45248-2043
(513) 262-6917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.2018646-SP
OH
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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