Healthcare Provider Details

I. General information

NPI: 1790699403
Provider Name (Legal Business Name): OLIVIA HORRIGAN M.S., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 FORSYTH DR
TROY MI
48085-3775
US

IV. Provider business mailing address

582 FOX RIVER DR
BLOOMFIELD HILLS MI
48304-1010
US

V. Phone/Fax

Practice location:
  • Phone: 248-823-3500
  • Fax:
Mailing address:
  • Phone: 615-955-7831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number7101008992
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: