MEDICARE: MICHELLE ANN YATES M.S., CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	19701	TX

General Provider Information

NPI Number	:	1245356344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANN YATES M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	156 EAGLE ROCK CIR
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77381-4346
Country	:	US
Telephone Number	:	832-229-3866
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 COLORADO BLVD
Second Line	:	#318
City	:	DENVER
State	:	CO
Zip	:	80206-4084
Country	:	US
Telephone Number	:	866-801-9492
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	07/08/2007

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Directions to “ MICHELLE ANN YATES M.S., CCC-SLP” Practice Location

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