Provider Demographics
NPI:1881151959
Name:ONWOCHEI, MICHELE (MA CCC-SLP)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:ONWOCHEI
Suffix:
Gender:F
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 1:9630 MILESTONE WAY APT 3091
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-4345
Mailing Address - Country:US
Mailing Address - Phone:202-743-0744
Mailing Address - Fax:
Practice Address - Street 1:9630 MILESTONE WAY APT 3091
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-4345
Practice Address - Country:US
Practice Address - Phone:202-743-0744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08649235Z00000X
DCSLP001178235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSC935398OtherSTATE DRIVER'S LICENSE