Healthcare Provider Details

I. General information

NPI: 1497772396
Provider Name (Legal Business Name): REGENTS OF THE UM - CENTER FOR THE DEVELOPMENT OF LANGUAGE & LITERACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 CATHERINE ST
ANN ARBOR MI
48109-2054
US

IV. Provider business mailing address

1111 CATHERINE ST
ANN ARBOR MI
48109-2054
US

V. Phone/Fax

Practice location:
  • Phone: 734-764-8440
  • Fax:
Mailing address:
  • Phone: 734-764-8440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT L. HATCHER
Title or Position: DIRECTOR
Credential: PHD.
Phone: 734-764-6311