Healthcare Provider Details

I. General information

NPI: 1316851009
Provider Name (Legal Business Name): DEANNA DEVLAMINCK SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 LAPEER RD STE C
DAVISON MI
48423-3620
US

IV. Provider business mailing address

9100 LAPEER RD STE C
DAVISON MI
48423-3620
US

V. Phone/Fax

Practice location:
  • Phone: 810-412-4183
  • Fax: 702-508-6672
Mailing address:
  • Phone: 810-412-4183
  • Fax: 702-508-6672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101002601
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: