Individual ProviderSally MellottSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address3256 River Breeze Ct, Saint Charles, MO 63301-4531(816) 803-1011PECOS EnrollmentBased on the most recent information from CMS, provider Sally Mellott does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063826634Provider TypeIndividualFull NameMellott, SallyGenderFemaleSole ProprietorYesEnumeration Date6/11/2014Last Updated2/28/2025Contact InformationPractice LocationPractice Address3256 River Breeze Ct, Saint Charles, MO 63301-4531Phone(816) 803-1011FaxUnlisted FaxMailing LocationMailing Address3256 River Breeze Ct, Saint Charles, MO 63301-4531PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense2014012980Missouri