Healthcare Provider Details

I. General information

NPI: 1982568929
Provider Name (Legal Business Name): CELESTE GERARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E MIDLAND ST
BAY CITY MI
48706-4580
US

IV. Provider business mailing address

801 E MIDLAND ST
BAY CITY MI
48706-4580
US

V. Phone/Fax

Practice location:
  • Phone: 989-326-2103
  • Fax: 989-795-0095
Mailing address:
  • Phone: 989-326-2103
  • Fax: 989-795-0095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101002470
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: