Healthcare Provider Details

I. General information

NPI: 1659201143
Provider Name (Legal Business Name): YASMEEN MICHELE SAFADI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5958 N CANTON CENTER RD STE 700
CANTON MI
48187-2745
US

IV. Provider business mailing address

54902 WALNUT DR
NEW HUDSON MI
48165-9398
US

V. Phone/Fax

Practice location:
  • Phone: 844-427-7700
  • Fax:
Mailing address:
  • Phone: 734-968-5778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001384
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: