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NPI Code Detail

MEDICARE: GIGI'S KIDS, LLC

MEDICARE: GIGI'S KIDS, LLC
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 Pathologist7101002214MI

General Provider Information

NPI Number : 1225408594
Entity Type Code : Organization
Provider Name (Legal Business Name) : GIGI'S KIDS, LLC
Provider Business Mailing Address
First Line : 5549 N PICCADILLY
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-1443
Country : US
Telephone Number : 248-320-3121
Fax Number :
Provider Business Practice Location Address
First Line : 5549 N PICCADILLY
Second Line :
City : WEST BLOOMFIELD
State : MI
Zip : 48322-1443
Country : US
Telephone Number : 248-320-3121
Fax Number :
Authorized Official
Title or Position : SPEECH AND LANGUAGE PATHOLOGIST
Name : MRS. AMANDA GURWIN TOMPKINS
Credential : MS, CCC/SLP
Telephone Number : 248-320-3121
Provider Enumeration Date : 09/30/2015
Last Update Date : 09/30/2015

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Directions to “GIGI'S KIDS, LLC ” Practice Location

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