Provider Demographics
NPI:1932072956
Name:MARCEL, BOBBI MICHELLE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:BOBBI
Middle Name:MICHELLE
Last Name:MARCEL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6567 CORTE LA PAZ
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-4555
Mailing Address - Country:US
Mailing Address - Phone:760-672-1619
Mailing Address - Fax:
Practice Address - Street 1:6567 CORTE LA PAZ
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-4555
Practice Address - Country:US
Practice Address - Phone:760-672-1619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-25
Last Update Date:2025-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13069235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist