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MARY MELLENCAMP
NPI 1295394088
Speech-Language Pathologist in Georgetown, TX

Active since June 06, 2019
4402 WILLIAMS DR STE 115, GEORGETOWN, TX 78628(832) 655-3754 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Mellencamp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY MELLENCAMP (NPI 1295394088) is an individual speech-language pathologist provider in Georgetown, Texas, licensed in Texas (114667) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1295394088
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMARY MELLENCAMP
Location Address4402 WILLIAMS DR STE 115Georgetown, TX 78628-1388
Mailing Address1500 Cullen AveAustin, TX 78757-2529 · (832) 655-3754
Phone(832) 655-3754
Sole ProprietorNo
Enumeration DateJune 6, 2019
Last NPPES UpdateNovember 27, 2023
✔ NPI 1295394088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in TX · 114667
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
4402 WILLIAMS DR STE 115, Georgetown, TX 78628
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER BRISENO
Speech-Language Pathologist
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
JUSTIN DAVID BABINEAUX
Behavior Analyst
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
KARI ANN VELASQUEZ
Occupational Therapy Assistant
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
HONOREE MCGRAW POPE PT, DPT
Physical Therapist
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (336) 782-1555
JENNA ERIN LANE SLPA
Specialist/Technologist (Speech-Language Assistant)
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
ALEXIS NOELLE VAUGHAN OTR/L
Occupational Therapist
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
DR. KELSEY LAUREN DOW PT, DPT
Physical Therapist
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627
KAYLA GRACE ROBINS PT, DPT
Physical Therapist
4402 WILLIAMS DR STE 115
GEORGETOWN, TX 78628
Williamson County (512) 256-7627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Mellencamp's NPI number?

The NPI number for Mary Mellencamp is 1295394088. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Mary Mellencamp located?

Mary Mellencamp practices at 4402 Williams Dr Ste 115, Georgetown, TX 78628. The listed phone number is (832) 655-3754.

What is Mary Mellencamp's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Mary Mellencamp accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Mary Mellencamp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Mellencamp was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.