Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Shiba, MSCCC-SLP

Individual provider Speech-Language Pathologist · NPI 1154975118

Mackenzie Shiba, MSCCC-SLP is a Speech-Language Pathologist in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

1812 W Kettleman Ln
Lodi, CA 95242-8224
Phone: (209) 242-4606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 26679 (CA)

Record details

NPI number1154975118
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC-SLP
Sole proprietorYes
NPI enumeratedJuly 29, 2019
Last updated in NPPESMay 13, 2023
Certification dateMay 13, 2023

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