Individual
MS. MELANIE R. THEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. CCC-SLP
Contact information
Practice address
14650 GARRETT AVE, APPLE VALLEY, MN 55124-7543
(952) 236-2571
(952) 236-2571
Mailing address
15236 DUPONT CT, APPLE VALLEY, MN 55124-5859
(952) 235-2571
(952) 235-2577
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5900
MN
Other
Enumeration date
03/27/2007
Last updated
10/22/2008
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