Individual
MELISSA JEAN PLUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1800 APPLETON RD, MENASHA, WI 54952-3727
(920) 968-6228
(920) 725-2572
Mailing address
1024 WISCONSIN CT, LITTLE CHUTE, WI 54140-2248
(920) 687-0105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1192-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1192-154
STATE LICENSE
WI
05
—
42721600
—
WI
Enumeration date
02/07/2007
Last updated
07/08/2007
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