Provider Demographics
NPI:1538880232
Name:PRESTON, MICHELLE ANDREA (MS, SLP-CFY)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ANDREA
Last Name:PRESTON
Suffix:
Gender:F
Credentials:MS, SLP-CFY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10141 BIG HORN TRL
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6619
Mailing Address - Country:US
Mailing Address - Phone:972-533-9605
Mailing Address - Fax:
Practice Address - Street 1:5585 CARUTH HAVEN LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-8157
Practice Address - Country:US
Practice Address - Phone:214-305-6698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-09
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist