Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Michelle Anne Hulstrom, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1376849414

Mrs. Michelle Anne Hulstrom, CCC-SLP is a Speech-Language Pathologist in Lodi, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2011
What do these letters mean?
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

2826 Cumbria Way
Lodi, CA 95242-9668
Phone: (209) 609-5179
Fax: (209) 263-7006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 12799 (CA)

Record details

NPI number1376849414
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedFebruary 8, 2011
Last updated in NPPESFebruary 8, 2011

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