Individual
MRS. MELISSA ANN WEGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S CCC-SLP
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
532 E WHISPERING PINES WAY, VERONA, WI 53593-2274
(608) 845-6348
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2705-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42572600
—
WI
Enumeration date
11/01/2010
Last updated
03/03/2016
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