Healthcare Provider Details

I. General information

NPI: 1851200950
Provider Name (Legal Business Name): RACHELLE CAMPEAU-PAPPAS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 HAMPDEN DR
LANSING MI
48911-1785
US

IV. Provider business mailing address

8686 OLD M 78
HASLETT MI
48840-9301
US

V. Phone/Fax

Practice location:
  • Phone: 517-755-5222
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101002188
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: