Provider Demographics
NPI:1104906221
Name:DRESSLER-LOMANO, MICHELLE MARIE (MAUD,CCC-A)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:DRESSLER-LOMANO
Suffix:
Gender:F
Credentials:MAUD,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 PAW PAW PL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2489
Mailing Address - Country:US
Mailing Address - Phone:843-762-2132
Mailing Address - Fax:843-762-4623
Practice Address - Street 1:354 FOLLY RD
Practice Address - Street 2:SUITE 4
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2594
Practice Address - Country:US
Practice Address - Phone:843-762-2132
Practice Address - Fax:843-762-4623
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2868231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist