Wingate, Melissa A

Wingate, Melissa A is an individual health care provider with primary practice located at 10400 75Th St , Kenosha WI 53142-7884. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Wingate, Melissa A can be contacted via phone (262) 948-7815.

Contact Information

Primary practice address
10400 75Th St Kenosha WI 53142-7884
Phone: (262) 948-7815
Fax: (262) 948-7816
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3474 Wisconsin
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 3474 Wisconsin

Profile Details

NPI number 1114456712
LBN Legal business name Wingate, Melissa A
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2017
Last updated Nov 24th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1114456712 NPPES
Wisconsin MEDICAID 100070524

Popular Providers