Provider Demographics
NPI:1528465309
Name:LACHMAN, MICHAL
Entity type:Individual
Prefix:
First Name:MICHAL
Middle Name:
Last Name:LACHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:LACHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:16587 MARCHMONT DR
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-5606
Mailing Address - Country:US
Mailing Address - Phone:917-826-7150
Mailing Address - Fax:
Practice Address - Street 1:109 VIA TERESA
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95030-2141
Practice Address - Country:US
Practice Address - Phone:917-826-7150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-22
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA21994235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist