Healthcare Provider Details

I. General information

NPI: 1770012833
Provider Name (Legal Business Name): BRITTANY LYNN DEUR M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2017
Last Update Date: 03/26/2021
Certification Date: 03/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7150 KALAMAZOO AVE SE STE B
CALEDONIA MI
49316-9197
US

IV. Provider business mailing address

5060 CASCADE RD SE STE A
GRAND RAPIDS MI
49546-3808
US

V. Phone/Fax

Practice location:
  • Phone: 616-333-1800
  • Fax: 616-803-5323
Mailing address:
  • Phone: 616-333-1800
  • Fax: 616-803-5323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101005342
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: