Healthcare Provider Details

I. General information

NPI: 1619884624
Provider Name (Legal Business Name): RAYA MARIE YULO M.A., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27777 LAHSER RD
SOUTHFIELD MI
48034-4751
US

IV. Provider business mailing address

38638 SUTTON DR
STERLING HEIGHTS MI
48310-2871
US

V. Phone/Fax

Practice location:
  • Phone: 248-746-8840
  • Fax:
Mailing address:
  • Phone: 586-219-0509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7152001481
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: