Provider Demographics
NPI:1407152648
Name:MURSAU, MELANIE JEAN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:JEAN
Last Name:MURSAU
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:MELANIE
Other - Middle Name:
Other - Last Name:MURSAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:N8641 WOODLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:WI
Mailing Address - Zip Code:54165
Mailing Address - Country:US
Mailing Address - Phone:920-540-8429
Mailing Address - Fax:
Practice Address - Street 1:N8641 WOODLAND DRIVE
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:WI
Practice Address - Zip Code:54165
Practice Address - Country:US
Practice Address - Phone:920-540-8429
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-06
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist