| Doctor Name: | MRS. MINDY NOEL MCCLAIN-OTTO |
| NPI Number: | 1124477047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | SI2833 |
| Business Practice Address: | 2050 40th Ave Suite 1 Vero Beach, FL - 329602467 |
| Business Phone Number: | 7725670061 |
| Business Fax Number: | |
| Mailing Address: | 2795 Floresta Dr Ne, PALM BAY |
| State: | FL |
| Postal Code: | 329055522 |
| Phone Number: | 3215084393 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2016 |
| NPI Last Update Date: | 06/10/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SI2833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |