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NPI Code Detail

MEDICARE: MARIE NICOLE PERRY CCC-SLP

MEDICARE: MARIE NICOLE PERRY 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 Pathologist402AK
2235Z00000XSpeech-Language Pathologist7101004921MI

General Provider Information

NPI Number : 1528317260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE NICOLE PERRY CCC-SLP
Provider Business Mailing Address
First Line : 4690 HIDDEN CREEK LN
Second Line :
City : BRIDGMAN
State : MI
Zip : 49106-8340
Country : US
Telephone Number : 989-787-0415
Fax Number :
Provider Business Practice Location Address
First Line : 9935 RED ARROW HWY
Second Line :
City : BRIDGMAN
State : MI
Zip : 49106-9002
Country : US
Telephone Number : 989-787-0415
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2012
Last Update Date : 03/11/2025

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Directions to “ MARIE NICOLE PERRY CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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