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NPI Code Detail

MEDICARE: SUPER TALKERS, PLLC

MEDICARE: SUPER TALKERS, PLLC
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
1225XP0200XPediatric Occupational Therapist
2235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11275119596OTHERMIMEGAN BUDDEN
21396237004OTHERMINADINE ARSANOS

General Provider Information

NPI Number : 1295218956
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUPER TALKERS, PLLC
Provider Business Mailing Address
First Line : 272 E AUBURN RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5202
Country : US
Telephone Number : 248-579-8155
Fax Number :
Provider Business Practice Location Address
First Line : 272 E AUBURN RD
Second Line :
City : ROCHESTER HILLS
State : MI
Zip : 48307-5202
Country : US
Telephone Number : 248-579-8155
Fax Number :
Authorized Official
Title or Position : OWNER/SPEECH LANGUAGE PATHOLOGIST
Name : NADINE ARSANOS
Credential : CCC-SLP
Telephone Number : 248-579-8155
Provider Enumeration Date : 09/10/2018
Last Update Date : 06/28/2021

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