Provider Demographics
NPI:1326200965
Name:CIABATTARI, MICHELLE M (MSSLP/CCC-L)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:M
Last Name:CIABATTARI
Suffix:
Gender:F
Credentials:MSSLP/CCC-L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16277 CELTIC CIR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:IL
Mailing Address - Zip Code:60442-6101
Mailing Address - Country:US
Mailing Address - Phone:815-478-3948
Mailing Address - Fax:815-478-3948
Practice Address - Street 1:16277 CELTIC CIR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:IL
Practice Address - Zip Code:60442-6101
Practice Address - Country:US
Practice Address - Phone:815-478-3948
Practice Address - Fax:815-478-3948
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146-005200235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist