Individual provider · NPI-1

Michelle Bak, M.A. CCC-SLP

Speech-Language Pathologist, · Racine, WI

NPI number1215865696
StatusActive
Last updated in NPPESMay 13, 2026

Details

NPI
1215865696
Entity type
Individual (NPI-1)
Name
Ms. Michelle Bak
Credential
M.A. CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
May 13, 2026
Certification date
May 13, 2026
Last updated
May 13, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,4033-154WIYes

Practice location

2420 Kentucky St
Racine, WI 53405-4041

Phone 262-664-6950

Mailing address

2150 W Meyer Ln Apt 2210
Oak Creek, WI 53154-4346

Phone 847-772-3165

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