Provider Demographics
NPI:1144388232
Name:HEYSER-PATTI, MELISSA (MA, CCC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:
Last Name:HEYSER-PATTI
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1970 CHESTERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60503-8521
Mailing Address - Country:US
Mailing Address - Phone:630-499-8542
Mailing Address - Fax:630-499-8544
Practice Address - Street 1:1970 CHESTERFIELD LN
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60503-8521
Practice Address - Country:US
Practice Address - Phone:630-499-8542
Practice Address - Fax:630-499-8544
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4732039OtherBCBSIL PIN
IL7087704OtherAETNA PIN