MEDICARE: MICHELLE ANDREA PRESTON MS, SLP-CFY

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

General Provider Information

NPI Number	:	1538880232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE ANDREA PRESTON MS, SLP-CFY

Provider Business Mailing Address
First Line	:	10141 BIG HORN TRL
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-6619
Country	:	US
Telephone Number	:	972-533-9605
Fax Number	:

Provider Business Practice Location Address
First Line	:	5585 CARUTH HAVEN LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75225-8157
Country	:	US
Telephone Number	:	214-305-6698
Fax Number	:

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

Provider Enumeration Date	:	09/09/2022
Last Update Date	:	09/09/2022

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Directions to “ MICHELLE ANDREA PRESTON MS, SLP-CFY” Practice Location

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