Provider Demographics
NPI:1669184396
Name:STABEN, MICHELE M (SPEECH LANGUAGE PATH)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:M
Last Name:STABEN
Suffix:
Gender:F
Credentials:SPEECH LANGUAGE PATH
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:
Other - Last Name:MCCLANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:911 W 25TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203-1232
Mailing Address - Country:US
Mailing Address - Phone:509-354-4523
Mailing Address - Fax:
Practice Address - Street 1:911 W 25TH AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99203-1232
Practice Address - Country:US
Practice Address - Phone:509-354-4523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-13
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist