| Doctor Name: | MELANIE J MCNUTT |
| NPI Number: | 1336176379 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS-SLP |
| License Number: | 682 |
| Business Practice Address: | 3000 32nd Ave S Fargo, ND - 581036132 |
| Business Phone Number: | 7013648000 |
| Business Fax Number: | 7013648078 |
| Mailing Address: | Po Box 6001, FARGO |
| State: | ND |
| Postal Code: | 581086001 |
| Phone Number: | 7013643300 |
| Fax Number: | 7013648906 |
| NPI Enumeration Date: | 06/26/2006 |
| NPI Last Update Date: | 05/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ND |
| 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 |