Provider Demographics
NPI:1528260288
Name:DEMPSEY, MICHELE (MS CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:
Last Name:DEMPSEY
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 1:5246 MEADOWBROOK DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-6834
Mailing Address - Country:US
Mailing Address - Phone:215-605-4856
Mailing Address - Fax:
Practice Address - Street 1:44 S 38TH ST
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4307
Practice Address - Country:US
Practice Address - Phone:717-975-0611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL005914L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist