Healthcare Provider Details

I. General information

NPI: 1295658052
Provider Name (Legal Business Name): SAVANNAH HOPE THOMAS M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7960 GRAND RIVER RD STE 280
BRIGHTON MI
48114-7337
US

IV. Provider business mailing address

7960 GRAND RIVER RD STE 280
BRIGHTON MI
48114-7337
US

V. Phone/Fax

Practice location:
  • Phone: 810-412-4183
  • Fax: 810-309-8635
Mailing address:
  • Phone: 810-412-4183
  • Fax: 810-309-8635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101009735
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: