MEDICARE: MRS. JESSICA MARIE MORELLO 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	1590056904	WI

General Provider Information

NPI Number	:	1447413349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JESSICA MARIE MORELLO SLP

Provider Business Mailing Address
First Line	:	16200 COUNTY HIGHWAY G
Second Line	:
City	:	STANLEY
State	:	WI
Zip	:	54768-5507
Country	:	US
Telephone Number	:	715-429-0033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 MILES ST
Second Line	:
City	:	CHIPPEWA FALLS
State	:	WI
Zip	:	54729-1923
Country	:	US
Telephone Number	:	715-726-2412
Fax Number	:

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

Provider Enumeration Date	:	07/10/2008
Last Update Date	:	05/18/2026

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