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NPI Code Detail

MEDICARE: ALAYNA GOOD CF-SLP

MEDICARE: ALAYNA GOOD CF-SLP
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
1235Z00000XSpeech-Language Pathologist7152000703MI

General Provider Information

NPI Number : 1215619077
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAYNA GOOD CF-SLP
Provider Business Mailing Address
First Line : 20251 CARLYSLE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-3804
Country : US
Telephone Number : 313-278-4601
Fax Number :
Provider Business Practice Location Address
First Line : 20251 CARLYSLE ST
Second Line :
City : DEARBORN
State : MI
Zip : 48124-3804
Country : US
Telephone Number : 313-278-4601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2023
Last Update Date : 08/02/2023

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Directions to “ ALAYNA GOOD CF-SLP” Practice Location

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