Provider Demographics
NPI:1598188369
Name:MILSTEIN, ROCHELLE (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:MILSTEIN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6400 FARMINGTON RD STE 110
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-4442
Mailing Address - Country:US
Mailing Address - Phone:248-788-0880
Mailing Address - Fax:
Practice Address - Street 1:6400 FARMINGTON RD STE 110
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-4442
Practice Address - Country:US
Practice Address - Phone:248-788-0880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-29
Last Update Date:2019-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101001060235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist