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NPI Code Detail

MEDICARE: SPEECH AND VOICE SOLUTIONS LLC

MEDICARE: SPEECH AND VOICE SOLUTIONS 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
1235Z00000XSpeech-Language Pathologist12032991MI

General Provider Information

NPI Number : 1336419696
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEECH AND VOICE SOLUTIONS LLC
Provider Business Mailing Address
First Line : 2251 E PARIS AVE SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-2431
Country : US
Telephone Number : 616-447-7799
Fax Number :
Provider Business Practice Location Address
First Line : 2251 E PARIS AVE SE
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49546-2431
Country : US
Telephone Number : 616-447-7799
Fax Number :
Authorized Official
Title or Position : SPEECH PATHOLOGIST/OWNER
Name : STACY PULLEY
Credential : M.S CCC-SLP
Telephone Number : 616-447-7799
Provider Enumeration Date : 01/04/2012
Last Update Date : 04/11/2017

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Directions to “SPEECH AND VOICE SOLUTIONS LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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