Provider Demographics
NPI:1861057895
Name:LOONEY, MICHELLE CHRISTINE (AUD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:CHRISTINE
Last Name:LOONEY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6110 W ATLANTIC AVE STE A
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8406
Mailing Address - Country:US
Mailing Address - Phone:561-638-6530
Mailing Address - Fax:
Practice Address - Street 1:210 JUPITER LAKES BLVD.
Practice Address - Street 2:BUILDING 3000, SUITE 205-206
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7191
Practice Address - Country:US
Practice Address - Phone:561-638-6530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist