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NPI Code Detail

MEDICARE: MRS. EMILY LYNN-OTTO CHRISTENSEN M.A., CCC-SLP

MEDICARE: MRS. EMILY LYNN-OTTO CHRISTENSEN M.A., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7101000367MI

General Provider Information

NPI Number : 1033549464
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EMILY LYNN-OTTO CHRISTENSEN M.A., CCC-SLP
Provider Business Mailing Address
First Line : 138 WEST HIGHLAND RD
Second Line : SUITE 500-600
City : HOWELL
State : MI
Zip : 48843
Country : US
Telephone Number : 517-376-4831
Fax Number : 517-376-4833
Provider Business Practice Location Address
First Line : 138 W HIGHLAND RD STE 500-600
Second Line :
City : HOWELL
State : MI
Zip : 48843-2170
Country : US
Telephone Number : 517-376-4831
Fax Number : 517-376-4833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2013
Last Update Date : 07/21/2022

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Directions to “ MRS. EMILY LYNN-OTTO CHRISTENSEN M.A., CCC-SLP” Practice Location

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