Individual
MELANIE DAWN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD CCC-A
Contact information
Practice address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-1322
(989) 774-1891
Mailing address
1101 HEALTH PROFESSIONS BUILDING, MT PLEASANT, MI 48859-0001
(989) 774-1322
(989) 774-1891
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
MN000150
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MN000150
STATE LICENSE NUMBER
MI
01
—
MN042984
ASHA LICENCE
MI
Enumeration date
06/22/2006
Last updated
07/09/2007
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