Healthcare Provider Details

I. General information

NPI: 1437071578
Provider Name (Legal Business Name): NINA COMO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5877 LIVERNOIS RD STE 101
TROY MI
48098-3100
US

IV. Provider business mailing address

2274 TOPAZ DR
TROY MI
48085-3840
US

V. Phone/Fax

Practice location:
  • Phone: 248-828-3800
  • Fax:
Mailing address:
  • Phone: 248-840-0505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101008998
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: