Active NPI
Richelle Lobodzinski, MACC-SLP
- Speech-Language Pathologist
- Highland, MI
National Provider Identifier
1366680605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12011929
- Practice address
- 337 W Livingston Rd
Highland, MI 48357-4624 - Phone
- (248) 310-9762
- NPI assigned
- Jan 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12011929 | MI | Primary |
Addresses
Primary practice location
337 W Livingston Rd
Highland, MI 48357-4624
Mailing address
337 W Livingston Rd
Highland, MI 48357-4624
Phone (248) 310-9762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011929 | MI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232755200000",
"number": "1366680605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 W LIVINGSTON RD",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574624",
"telephone_number": "248-310-9762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 W LIVINGSTON RD",
"city": "HIGHLAND",
"state": "MI",
"postal_code": "483574624",
"telephone_number": "248-310-9762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBODZINSKI",
"first_name": "RICHELLE",
"name_prefix": "Mrs.",
"credential": "MACC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-24",
"last_updated": "2009-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "12011929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.