Individual
MELISSA J CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1030 MINERS RD STE C, SAINT JOSEPH, MI 49085-9709
(269) 235-9083
(269) 359-3735
Mailing address
4495 LAKE AVE S APT 324, WHITE BEAR LAKE, MN 55110-3479
(616) 403-8119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006855
MI
235Z00000X
Speech-Language Pathologist
9467
MN
Other
Enumeration date
06/11/2015
Last updated
04/10/2025
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