MEDICARE: SPEECH THERAPY SOLUTIONS OF SOUTHEAST MICHIGAN PLLC

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1053259226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH THERAPY SOLUTIONS OF SOUTHEAST MICHIGAN PLLC

Provider Business Mailing Address
First Line	:	6900 CAMELOT DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6900 CAMELOT DR
Second Line	:
City	:	CANTON
State	:	MI
Zip	:	48187-2516
Country	:	US
Telephone Number	:	313-258-4745
Fax Number	:

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	NASSIF DAHER
Credential	:
Telephone Number	:	313-258-4745

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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