Individual provider · Type 1 NPI

Melissa Kietzman

Speech-Language Pathologist · Waunakee, WI

NPI number 1104750439 Active

Practice location

6271 Woodland Dr
Waunakee, WI 53597-9256

Call (608) 849-2030 Map

Mailing address

5085 Vienna Dr
Waunakee, WI 53597-9747

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X1590015724 (WI)

Speech-Language Pathologist: 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, resonan…

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About NPI 1104750439

Melissa Kietzman's National Provider Identifier is 1104750439, issued on Jun 11, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Waunakee, WI. The record was last updated on Jun 11, 2026.