Most Relevant Information
Provider Data
| NPI Number: | 1003061458 |
| Provider Name: | MARIA MAZZILLO M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7620 |
Most Important Dates
| Enumeration Date: | 11/26/2008 |
| Last Updated: | 11/26/2008 |
Provider Practice Location
2702 FARRELL RD
SANFORD
NC
273306505
Practice Location Phone/Fax
| Phone: | 9197769602 |
| Fax: |
Provider Mailing Location
106 LEMON DROP CIR
APEX
NC
275021849
Provider Mailing Phone/Fax
| Phone: | 9192676085 |
| Fax: |