Provider Demographics
NPI:1083982110
Name:KROPEWNICKI, MICHELLE JEAN (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:JEAN
Last Name:KROPEWNICKI
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 N ASHLEY DR
Mailing Address - Street 2:UNIT 2811
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602-4356
Mailing Address - Country:US
Mailing Address - Phone:813-476-1039
Mailing Address - Fax:
Practice Address - Street 1:777 N ASHLEY DR
Practice Address - Street 2:UNIT 2811
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602-4356
Practice Address - Country:US
Practice Address - Phone:813-476-1039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-04
Last Update Date:2011-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.010963235Z00000X
FL10104235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist