Tasha Joy Malvitz, MA/CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2613-154 Issued in WI

Practice address

2101 S Webster Ave
Green Bay, WI 54301-2258

Phone

(920) 448-2143

NPI assigned

Sep 11, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1255526455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031516",
            "telephone_number": "920-448-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543012258",
            "telephone_number": "920-448-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVITZ",
        "first_name": "TASHA",
        "middle_name": "JOY",
        "credential": "MA/CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2613-154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Maloney, SAC IT
• Olivia Malson, PT, DPT
• Tyler Allen Malueg
• Christian F Maluf, MD, FACP, FCCP.
• Cynthia A Malvitz-Overly, O.D., F.A.A.O.
• Mamma Gese
• Mark A. Mancheski, O.D.
• Trevor James Mancl, DPT
• Michael James Mandich, A.T.C.
• Dimplejit Singh Mangat, DDS

• Speech-Language Pathologist in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Speech-Language Pathologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.