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NPI Code Detail

MEDICARE: MICHELLE LYNN LAPENTA M.A., CCC-SLP

MEDICARE: MICHELLE LYNN LAPENTA M.A., 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
1235Z00000XSpeech-Language PathologistSLO13588PA

General Provider Information

NPI Number : 1710526355
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE LYNN LAPENTA M.A., CCC-SLP
Provider Business Mailing Address
First Line : 7815 DRY WILLOW WAY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80908-1478
Country : US
Telephone Number : 215-292-6683
Fax Number :
Provider Business Practice Location Address
First Line : 2005 AEROPLAZA DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-4207
Country : US
Telephone Number : 719-425-7771
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2019
Last Update Date : 01/27/2022

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Directions to “ MICHELLE LYNN LAPENTA M.A., CCC-SLP” Practice Location

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