Individual
VANESSA LOPATKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
50920 VAN DYKE AVE, SHELBY TWP, MI 48317-1367
(586) 307-4757
(855) 393-6740
Mailing address
50920 VAN DYKE AVE, SHELBY TWP, MI 48317-1367
(586) 307-4757
(855) 393-6740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004787
MI
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528443777
—
MI
Enumeration date
07/29/2015
Last updated
06/26/2023
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