Individual
MELISSA M. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC/SLP
Contact information
Practice address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2785
(715) 717-7455
Mailing address
2509 COUNTY HIGHWAY I, CHIPPEWA FALLS, WI 54729-2785
(715) 717-4944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1965-154
WI
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42774300
—
WI
Enumeration date
09/13/2007
Last updated
01/03/2022
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