Healthcare Provider Details

I. General information

NPI: 1053259226
Provider Name (Legal Business Name): SPEECH THERAPY SOLUTIONS OF SOUTHEAST MICHIGAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 CAMELOT DR
CANTON MI
48187-2516
US

IV. Provider business mailing address

6900 CAMELOT DR
CANTON MI
48187-2516
US

V. Phone/Fax

Practice location:
  • Phone: 313-258-4745
  • Fax:
Mailing address:
  • Phone:
  • 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: NASSIF DAHER
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 313-258-4745