Christine Lynn Moline, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101006340 Issued in MI

Practice address

44225 W 12 Mile Rd Ste C-106
Novi, MI 48377-2640

Phone

(248) 277-3005

NPI assigned

Sep 18, 2019

Last updated

Mar 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Christine Lynn Robertson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BWC Brighton LLC

  dba Blossom Children's Center-Brighton

  • Speech-Language Pathologist
  • Brighton, MI
  • NPI 1366282980
  NPD
• Canton BCC LLC

  • Speech-Language Pathologist
  • Canton, MI
  • NPI 1265250500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1871143180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44225 W 12 MILE RD STE C-106",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772640",
            "telephone_number": "248-277-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44225 W 12 MILE RD STE C-106",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483772640",
            "telephone_number": "248-277-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINE",
        "first_name": "CHRISTINE",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101006340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "ROBERTSON",
            "middle_name": "LYNN",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Moiso
• Molar Town PLLC
• William Molden
• Rosario Molina
• Martha Bridgett Moline Poenaru, MA,LLP
• Kathryn Moller, RN
• David Molnar, PT
• Laura Molyneaux, RN
• Brian Molyneux
• Alexis Molzahn

• Speech-Language Pathologist in Novi, MI
• Providers in Novi, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.