Michelle Lynn Therapy PLC
Organization Active NPI Speech-Language Pathologist · East Tawas, MI
NPI 1033729603 · NPPES record last updated May 26, 2022
Key facts
- NPI
- 1033729603
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- MICHELLE LYNN THERAPY PLC
- Practice address
- 1691 E US 23 Ste 4
East Tawas, MI 48730-9337 - Phone
- (989) 310-1962
- NPI assigned
- Aug 7, 2020
- Organization subpart
- No
Authorized official
- Name
- Michelle Lynn St. Aubin, MS CCC-SLP
- Title
- Owner/Speech-Language Therapist
- Phone
- (989) 310-1962
Practitioners 10
-
Sophie-Tessa G Butcher, LLMSW
-
Angela Giori, LMSW
-
Julienne Schnettler, OTR/L
-
Susan Marie Shaw, LPC
-
Michelle St. Aubin, MS, CCC-SLP
-
Mary B. Blue, MA,CCC-SLP
-
Amanda M. Sherman, CF-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210115002313 | MI | Part B Supplier - Clinic/Group Practice | 2264845049 |
Receives reassigned benefits from 7 practitioners Practice locations: East Tawas, MI |
National Provider Directory
Locations
348 Long Rapids Plz
Alpena, MI 49707
Phone (989) 358-8086
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
1691 E US 23 Ste 4
East Tawas, MI 48730-9337
Mailing address
1691 E US 23 Ste 4
East Tawas, MI 48730-9337
Phone (989) 479-7550
Other practice location 1
348 Long Rapids Plz
Alpena, MI 49707-1374
Phone (989) 479-7550
Other names
- Fun First Therapy
Other providers in East Tawas, MI
- Grace Esther Male
- Kaitlyn Manning
- Mathew C. Friedemann DDS PC
- Melissa M David OD PLLC
- Merrilee R Brandt MD PC
- Kimberly Ann Modrzejewski
- Madison Maria Modrzejewski
- Jaime A Modrzynski
- Cassandra Mousseau
- Olivia Moyer
All providers in East Tawas, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.