Individual
MELANIE SHEPHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, SLP
Contact information
Practice address
1147 S 3RD ST, NILES, MI 49120-3472
(269) 684-9470
Mailing address
59429 CLOVER RD, MISHAWAKA, IN 46544-9406
(574) 309-6922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005174
MI
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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