Healthcare Provider Details

I. General information

NPI: 1063561660
Provider Name (Legal Business Name): DEAF,HEARING, AND SIGN LANGUAGE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19185 WYOMING ST
DETROIT MI
48221-3219
US

IV. Provider business mailing address

19185 WYOMING ST
DETROIT MI
48221-3219
US

V. Phone/Fax

Practice location:
  • Phone: 313-341-1353
  • Fax: 313-341-4091
Mailing address:
  • Phone: 313-341-1353
  • Fax: 313-341-4091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3501002615
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number12074769
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3501002615
License Number StateMI

VIII. Authorized Official

Name: MS. MONICA LYNN WOODSON
Title or Position: E.D.
Credential:
Phone: 313-341-1353