Provider Demographics
NPI:1285938571
Name:CHOPP, MICHELLE A (MS, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:A
Last Name:CHOPP
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 ONEIDA CT
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-9577
Mailing Address - Country:US
Mailing Address - Phone:262-376-0414
Mailing Address - Fax:
Practice Address - Street 1:1775 ONEIDA CT
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:WI
Practice Address - Zip Code:53024-9577
Practice Address - Country:US
Practice Address - Phone:262-376-0414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-31
Last Update Date:2010-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1250-154235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist