Provider Demographics
NPI:1831445501
Name:HOBAN, MICHELLE (SLP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:HOBAN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2865 CHANCELLOR DR STE 105
Mailing Address - Street 2:
Mailing Address - City:CRESTVIEW HILLS
Mailing Address - State:KY
Mailing Address - Zip Code:41017-3913
Mailing Address - Country:US
Mailing Address - Phone:859-426-5666
Mailing Address - Fax:859-426-5665
Practice Address - Street 1:2865 CHANCELLOR DR STE 105
Practice Address - Street 2:
Practice Address - City:CRESTVIEW HILLS
Practice Address - State:KY
Practice Address - Zip Code:41017-3913
Practice Address - Country:US
Practice Address - Phone:859-426-5666
Practice Address - Fax:859-426-5665
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist