Healthcare Provider Details

I. General information

NPI: 1063320026
Provider Name (Legal Business Name): KATIE DEYO BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57900 11 MILE RD
SOUTH LYON MI
48178-9732
US

IV. Provider business mailing address

837 CHATHAM DR
MILFORD MI
48381-2784
US

V. Phone/Fax

Practice location:
  • Phone: 248-573-8750
  • Fax:
Mailing address:
  • Phone: 248-225-6251
  • 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:
Title or Position:
Credential:
Phone: