Individual
MELANIE GILLENWATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
112 HOLT DR, MADISON, IN 47250-3873
(812) 265-8226
Mailing address
112 HOLT DR, MADISON, IN 47250-3873
(812) 265-8226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004941A
IN
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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