Provider Demographics
NPI:1235964461
Name:THORPE, MICHELLE (HIS)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:THORPE
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:99 WOLF CREEK BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4968
Mailing Address - Country:US
Mailing Address - Phone:302-724-4726
Mailing Address - Fax:302-674-2504
Practice Address - Street 1:99 WOLF CREEK BLVD STE 3
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4968
Practice Address - Country:US
Practice Address - Phone:302-724-4726
Practice Address - Fax:302-674-2504
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEO3-0010302237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist