Individual
ANDREA MOLL TOBOCHNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4400 E MICHIGAN BLVD, MICHIGAN CITY, IN 46360-3189
(219) 809-6239
Mailing address
105 GARFIELD AVE, VALPARAISO, IN 46383-5020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006580A
IN
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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