Doctor Name: | REBEKAH LYN MELTON |
NPI Number: | 1104073725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC/SLP |
License Number: | 3953 |
Business Practice Address: | 2875 Fish Hatchery Rd Fitchburg, WI - 537133114 |
Business Phone Number: | 6083161186 |
Business Fax Number: | 6082521333 |
Mailing Address: | 2875 Fish Hatchery Rd, FITCHBURG |
State: | WI |
Postal Code: | 537133114 |
Phone Number: | 6083161186 |
Fax Number: | 6082521333 |
NPI Enumeration Date: | 08/26/2008 |
NPI Last Update Date: | 06/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3953 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |