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Melissa Kietzman

Speech-Language Pathologist, in Waunakee, WI. Individual provider (NPI-1).

NPI number1104750439
StatusActive
Last updated in NPPESJun 11, 2026

Details

NPI
1104750439
Entity type
Individual (NPI-1)
Name
Melissa Kietzman
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 11, 2026
Certification date
Jun 11, 2026
Last updated
Jun 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,1590015724WIYes

Practice location

6271 Woodland Dr
Waunakee, WI 53597-9256

Phone 608-849-2030

Mailing address

5085 Vienna Dr
Waunakee, WI 53597-9747

Phone 608-225-4796

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Other Speech-Language Pathologist providers in Waunakee, WI

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