Doctor Name: | MRS. RICHELLE LOBODZINSKI |
NPI Number: | 1366680605 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MACC-SLP |
License Number: | 12011929 |
Business Practice Address: | 337 W Livingston Rd Highland, MI - 483574624 |
Business Phone Number: | 2483109762 |
Business Fax Number: | |
Mailing Address: | 337 W Livingston Rd, HIGHLAND |
State: | MI |
Postal Code: | 483574624 |
Phone Number: | 2483109762 |
Fax Number: | |
NPI Enumeration Date: | 01/24/2009 |
NPI Last Update Date: | 01/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12011929 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |