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

Mary Josephine Pangborn, MA, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1417636028

Mary Josephine Pangborn, MA, CCC-SLP is a Speech-Language Pathologist in East Lansing, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3735 Parula Dr
East Lansing, MI 48823-8352
Phone: (231) 492-5823
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 14041708 (MI)

Record details

NPI number1417636028
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 12, 2023

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