Provider Demographics
NPI:1851541379
Name:LUPINSKI, MICHAEL FELIX (MA,CCC-SLP)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:FELIX
Last Name:LUPINSKI
Suffix:
Gender:M
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E HURON AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-1313
Mailing Address - Country:US
Mailing Address - Phone:198-996-3013
Mailing Address - Fax:
Practice Address - Street 1:110 E HURON AVE
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-1313
Practice Address - Country:US
Practice Address - Phone:198-996-3013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-20
Last Update Date:2008-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI00758292235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist