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General NPI Number Information
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NPI Number | 1538253885
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Entity Type | Organization
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Legal Business Name | SPEECH & LANGUAGE SERVICES, P.C.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 265 N MICHIGAN AVE
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City | COLDWATER
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State | MI
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Zip | 49036-1528
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Country | US
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Telephone | 517-278-3384
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Fax | 517-279-4946
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Provider Business Mailing Address
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Address Line | 156 CHURCH ST
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City | COLDWATER
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State | MI
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Zip | 49036-1756
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Country | US
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Telephone | 517-278-3384
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Fax | 517-279-4946
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Authorized Official
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Title or Position | SPEECH PATHOLOGIST/DIRECTOR
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Name | MR. ERLAND GLEASON
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Credential | CCC-SLP
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Telephone | 517-278-3384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 22002776A
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License Number State | IN
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