Healthcare Provider Details

I. General information

NPI: 1538542493
Provider Name (Legal Business Name): LAUREN JUNE MARIE GARLEFF M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2015
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date: 06/19/2020
Reactivation Date: 09/15/2026

III. Provider practice location address

7480 DAN HOEY RD BLDG B
DEXTER MI
48130-9836
US

IV. Provider business mailing address

7480 DAN HOEY RD BLDG B
DEXTER MI
48130-9836
US

V. Phone/Fax

Practice location:
  • Phone: 734-424-4130
  • Fax:
Mailing address:
  • Phone: 734-424-4130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101002405
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: