Individual
MICHELLE ELIZABETH FAVORITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
207 E NORTHERN LIGHTS BLVD STE 101, ANCHORAGE, AK 99503-2730
(907) 222-9905
(907) 222-9925
Mailing address
4518 KIMBERLY CT, BETHLEHEM, PA 18020-9698
(610) 573-8810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013309
PA
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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