Michelle Lynn Dillon, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

100961 Issued in TX

Practice address

310 Odyssey Dr
Webster, TX 77598-1646

Phone

(281) 480-5648

Fax

(281) 480-5691

NPI assigned

Aug 23, 2011

Last updated

Sep 22, 2022By 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

• Mrs. Michelle Dillon Wagner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Children's Therapy Center, Inc.

  • Pediatric Occupational Therapist
  • Houston, TX
  • NPI 1962526590

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1982984811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 QUAIL CIR",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394002",
            "telephone_number": "281-910-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ODYSSEY DR",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981646",
            "telephone_number": "281-480-5648",
            "fax_number": "281-480-5691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dickinson Independent School District",
            "address_2": "2218 FM 517 RD",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "TX",
            "postal_code": "775396858",
            "country_code": "US",
            "telephone_number": "281-229-6000 x7570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-23",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "100961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WAGNER",
            "middle_name": "DILLON",
            "prefix": "MRS.",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Asha Dhuka, M.D.
• Julie Marie Dibello
• Saniyah Jewel Dibrell
• Kelsey Lyn Didericksen
• Allison Michelle Dillon, DDS
• Distinct Abilities Children's Therapy, LLCP
• Sonal A Divecha, DO
• Gilliane R Dixon
• DL Wellness Partners, Inc. (ArcPointLabs Bay Area Houston)
• Cody Gatlin Dodd, PLMHP

• Speech-Language Pathologist in Webster, TX
• Providers in Webster, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.