Provider Demographics
NPI:1043504541
Name:SINGER, MELANIE WICK (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:WICK
Last Name:SINGER
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:LYNN
Other - Last Name:WICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1301 CORNERSTONE CT
Mailing Address - Street 2:
Mailing Address - City:ESSEXVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48732-1937
Mailing Address - Country:US
Mailing Address - Phone:216-870-6337
Mailing Address - Fax:
Practice Address - Street 1:1301 CORNERSTONE CT
Practice Address - Street 2:
Practice Address - City:ESSEXVILLE
Practice Address - State:MI
Practice Address - Zip Code:48732-1937
Practice Address - Country:US
Practice Address - Phone:216-870-6337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-009660235Z00000X
MI7101000106235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist