Provider Demographics
NPI:1992047963
Name:CHATELAIN, MELISSA CAROL (MS-CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:CAROL
Last Name:CHATELAIN
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11025 E PICKARD RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-9418
Mailing Address - Country:US
Mailing Address - Phone:989-444-9757
Mailing Address - Fax:
Practice Address - Street 1:1149 W MONROE RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MI
Practice Address - Zip Code:48880-9736
Practice Address - Country:US
Practice Address - Phone:989-681-0051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist