SHANNON MELLEMA
NPI 1376324970
Speech-Language Pathologist in Gaylord, MI

Q: What is Shannon Mellema's NPI number?

The NPI number for Shannon Mellema is 1376324970. It was assigned to this individual provider in the NPPES registry on October 10, 2023.

Q: What is Shannon Mellema's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Mellema was last updated on October 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 10, 2023

825 N CENTER AVE, GAYLORD, MI 49735(989) 731-3894(989) 731-7787 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shannon Mellema NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON MELLEMA (NPI 1376324970) is an individual speech-language pathologist provider in Gaylord, Michigan, licensed in Michigan (7152000771) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1376324970

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSHANNON MELLEMA

Location Address825 N CENTER AVEGaylord, MI 49735-1592

Mailing Address825 N Center AveGaylord, MI 49735-1592 · (989) 731-3894 · Fax (989) 731-7787

Phone(989) 731-3894

Fax(989) 731-7787

Sole ProprietorNo

Enumeration DateOctober 10, 2023

NPPES CertifiedOctober 10, 2023

✔ NPI 1376324970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 7152000771

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

825 N CENTER AVE, Gaylord, MI 49735

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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