Individual
MRS. MELISSA SUE BEITHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
605 SPRING ST N, NORTHFIELD, MN 55057-1346
(507) 202-5811
Mailing address
605 SPRING ST N, NORTHFIELD, MN 55057-1346
(507) 202-5811
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5686
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01097278
ASHA
—
01
—
5686
MN STATE LICENSURE
MN
Enumeration date
02/19/2013
Last updated
02/19/2013
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