MEDICARE: NORTH OAKLAND SPEECH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1164148284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH OAKLAND SPEECH SERVICES, LLC

Provider Business Mailing Address
First Line	:	1632 GRANDVIEW DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-3130
Country	:	US
Telephone Number	:	586-202-6458
Fax Number	:	248-927-0881

Provider Business Practice Location Address
First Line	:	1632 GRANDVIEW DR
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-3130
Country	:	US
Telephone Number	:	586-202-6458
Fax Number	:	248-927-0881

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MRS. REBECCA JEAN HUGHES
Credential	:	SLP
Telephone Number	:	586-202-6458

Provider Enumeration Date	:	10/19/2022
Last Update Date	:	10/19/2022

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Directions to “NORTH OAKLAND SPEECH SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

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