Individual provider · Type 1 NPI

Mackenzie Shiba, M.S. CCC-SLP

Speech-Language Pathologist · Lodi, CA

NPI number 1154975118 Active

Practice location

1812 W Kettleman Ln
Lodi, CA 95242-8224

Call (209) 242-4606 Map

Mailing address

16966 E Front St
Linden, CA 95236-9751

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist Primary	235Z00000X	26679 (CA)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1154975118

Mackenzie Shiba, M.S. CCC-SLP's National Provider Identifier is 1154975118, issued on Jul 29, 2019. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lodi, CA. The record was last updated on May 13, 2023.