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General NPI Number Information
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NPI Number | 1720273493
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Entity Type | Individual
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Provider Name | MICHELLE LYNN VOGEL M.S.
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Gender | Female
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Dates
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Enumeration Date | 09/06/2007
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 111 WEST MICHIGAN ST PROSTEP/EXTENDICARE HEALTHSERVICES
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City | MILWAUKEE
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State | WI
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Zip | 53203
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Country | US
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Telephone | 419-908-8781
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Fax | 414-918-2573
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Provider Business Mailing Address
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Address Line | 224 COMPOUND LN
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City | CEDAR RUN
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State | PA
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Zip | 17727-7713
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Country | US
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Telephone | 570-353-2526
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SL000132L
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License Number State | PA
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