Provider Demographics
NPI:1902047517
Name:LA FRAMBOISE, ELIZABETH DIANE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:DIANE
Last Name:LA FRAMBOISE
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Gender:F
Credentials:MA, CCC-SLP
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Mailing Address - Street 1:347 CREEKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8676
Mailing Address - Country:US
Mailing Address - Phone:231-487-0080
Mailing Address - Fax:231-373-5459
Practice Address - Street 1:347 CREEKSIDE DR
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-8676
Practice Address - Country:US
Practice Address - Phone:231-487-0080
Practice Address - Fax:231-373-5459
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist