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NPI Code Detail

MEDICARE: MRS. MELINDA JAYNE TREVETHAN SLP-CCC

MEDICARE:  MRS. MELINDA JAYNE TREVETHAN  SLP-CCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistWI

General Provider Information

NPI Number : 1316879190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELINDA JAYNE TREVETHAN SLP-CCC
Provider Business Mailing Address
First Line : 212 S CLINTON ST
Second Line :
City : CUBA CITY
State : WI
Zip : 53807-1512
Country : US
Telephone Number : 608-732-7121
Fax Number : 608-690-5283
Provider Business Practice Location Address
First Line : 518 W ROOSEVELT ST
Second Line :
City : CUBA CITY
State : WI
Zip : 53807-1220
Country : US
Telephone Number : 608-744-2174
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2026
Last Update Date : 06/03/2026

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Directions to “ MRS. MELINDA JAYNE TREVETHAN SLP-CCC” Practice Location

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