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NPI Code Detail

MEDICARE: LAURA LYNN ARSENEAULT M.A., CCC-SLP

MEDICARE: LAURA LYNN ARSENEAULT M.A., CCC-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 Pathologist7101006138MI

General Provider Information

NPI Number : 1992559181
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA LYNN ARSENEAULT M.A., CCC-SLP
Provider Business Mailing Address
First Line : 55297 DEMARET DR
Second Line :
City : MACOMB
State : MI
Zip : 48042-1212
Country : US
Telephone Number : 586-243-0566
Fax Number :
Provider Business Practice Location Address
First Line : 34643 KETSIN DR
Second Line :
City : STERLING HTS
State : MI
Zip : 48310-5235
Country : US
Telephone Number : 586-600-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/15/2024

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Directions to “ LAURA LYNN ARSENEAULT M.A., CCC-SLP” Practice Location

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