IndividualActive
Shelby Mongelluzzo, M.S. CCC-SLP
NPI 1396236014 · Speech-Language Pathologist · Gambrills, MD
Provider details
- NPI number
- 1396236014
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 09039 (MD)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1119 State Route 3 N Ste 201
Gambrills, MD 21054-1788
Phone: (443) 808-1218
Street-level locationGet directions
Mailing address
1901 West St Unit 411
Annapolis, MD 21401-3940
Registry dates
- Enumerated
- 2018-05-29
- Last updated
- 2025-09-24
- Certified
- 2025-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.