Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE SHIBA, M.S. CCC-SLP
Active Sole ProprietorMACKENZIE SHIBA, M.S. CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in LODI, California. NPI 1154975118 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LODI, CA
Registration Details
- NPI Number
- 1154975118
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 29, 2019 (7.0551015687575 yrs)
- Last Updated
- May 13, 2023
- License
-
26679 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1812 W KETTLEMAN LNLODI, CA, 952428224Browse CA providers · Browse ZIP 95242
- Phone
- 2092424606
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in LODI, CA
| Name | Credential | NPI |
|---|---|---|
| SARA ROUSE | MA CCC-SLP | 1831311133 |
| COLLEEN ADAIR SELLING | SLP | 1083826036 |
| MRS. SARA MARIE PETERSON | SLP | 1144432360 |
| MRS. MARISA M GODI | M.S., CCC-SLP | 1992917843 |
| PAMELA ANNE CONWAY BREIJO | M.S., CCC-SLP | 1982834628 |
| MRS. MICHELLE ANNE HULSTROM | CCC-SLP | 1376849414 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.