Most Relevant Information
Provider Data
| NPI Number: | 1003033879 |
| Provider Name: | MICHELLE MONTELIBANO M.S., CCC |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 5163 |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
521 WEST 7TH ST.
SAINT PAUL
MN
55102
Practice Location Phone/Fax
| Phone: | 6512254558 |
| Fax: |
Provider Mailing Location
1548 STEPHANIE CIRCLE
EAGAN
MN
55121
Provider Mailing Phone/Fax
| Phone: | 6514527913 |
| Fax: |