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NPI Code Detail

MEDICARE: EMMA DECLUE

MEDICARE: EMMA DECLUE
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 Pathologist

General Provider Information

NPI Number : 1538881818
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA DECLUE
Provider Business Mailing Address
First Line : 390 ENTERPRISE CT STE 100
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0320
Country : US
Telephone Number : 248-214-7755
Fax Number : 248-940-2739
Provider Business Practice Location Address
First Line : 390 ENTERPRISE CT STE 100
Second Line :
City : BLOOMFIELD HILLS
State : MI
Zip : 48302-0320
Country : US
Telephone Number : 248-214-7755
Fax Number : 248-940-2739
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2022
Last Update Date : 02/04/2026

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Directions to “ EMMA DECLUE ” 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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