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General NPI Number Information
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NPI Number | 1558785451
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Entity Type | Organization
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Legal Business Name | KALAMAZOO SPEECH ASSOCIATES, INC.
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Dates
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Enumeration Date | 02/12/2014
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Last Update Date | 04/18/2025
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Provider Practice Location Address
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Address Line | 1011 W MAPLE ST STE 300
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City | KALAMAZOO
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State | MI
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Zip | 49008-5803
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Country | US
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Telephone | 269-343-7811
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Fax | 269-343-2810
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Provider Business Mailing Address
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Address Line | 1011 W MAPLE ST STE 300
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City | KALAMAZOO
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State | MI
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Zip | 49008-5803
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Country | US
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Telephone | 269-343-7811
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Fax | 269-343-2810
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Authorized Official
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Title or Position | CO-OWNER/SPEECH-LANGUAGE PATHOLOGIS
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Name | JENNIFER SHEPHARD CROUSE
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Credential | M.A., CCC-SLP
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Telephone | 269-343-7811
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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 |
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License Number State |
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