Provider Demographics
NPI:1770780512
Name:WOBBE, MAUREEN ELLEN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:ELLEN
Last Name:WOBBE
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4415 LORRAINE AVE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-4771
Mailing Address - Country:US
Mailing Address - Phone:239-793-0580
Mailing Address - Fax:239-793-0580
Practice Address - Street 1:681 GOODLETTE RD N
Practice Address - Street 2:SUITE 150
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5458
Practice Address - Country:US
Practice Address - Phone:239-434-9512
Practice Address - Fax:239-643-5908
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA-3046235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist