MEDICARE: TASHA JOY MALVITZ MA/CCC-SLP

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
1	235Z00000X	Speech-Language Pathologist	2613-154	WI

General Provider Information

NPI Number	:	1255526455
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TASHA JOY MALVITZ MA/CCC-SLP

Provider Business Mailing Address
First Line	:	200 S BROADWAY
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54303-1516
Country	:	US
Telephone Number	:	920-448-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 S WEBSTER AVE
Second Line	:
City	:	GREEN BAY
State	:	WI
Zip	:	54301-2258
Country	:	US
Telephone Number	:	920-448-2143
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2007
Last Update Date	:	05/14/2026

Similar Medicare Providers

1174781298 — KING PSYCHOLOGICAL SERVICES
Practice Location Address:

1488 E GREEN BAY ST
SHAWANO, WI
54166-2258

Practice Phone: 715-524-5355
Practice Fax:

1255567608 — DEBORAH PETERMAN COUNSELING
Practice Location Address:

1488 E GREEN BAY ST # 8
SHAWANO, WI
54166-2258

Practice Phone: 715-524-8896
Practice Fax: 715-524-8964

1912714999 — KIRSTEN ROSE VAN DYKE MS, TIC-C
Practice Location Address:

2258 RED OAK DR
GREEN BAY, WI
54304-1784

Practice Phone: 920-664-5989
Practice Fax:

1326341629 — MRS. GLAUKE COOIJMANS M.S.
Practice Location Address:

71 W MAIN ST , SUITE 1
OYSTER BAY, NY
11771-2258

Practice Phone: 516-558-7490
Practice Fax:

1265582381 — MARISA P DONLIN LIC. AC.
Practice Location Address:

111 GREEN ST UNIT 201
JAMAICA PLAIN, MA
02130-2258

Practice Phone: 617-899-2692
Practice Fax:

1639050321 — CANDICE LYNN MOREAU
Practice Location Address:

744 S WEBSTER AVE
GREEN BAY, WI
54301-3505

Practice Phone: 920-433-3617
Practice Fax:

Directions to “ TASHA JOY MALVITZ MA/CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.