Individual
MRS. KERRY MELISSA HOSP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 604-2200
(414) 604-7200
Mailing address
10243 W NATIONAL AVE, WEST ALLIS, WI 53227-2028
(414) 604-2200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4113-154
WI
Other
Enumeration date
02/01/2007
Last updated
08/05/2015
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