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NPI Code Detail

MEDICARE: MICHIGAN LANGUAGE CRAFTERS

MEDICARE: MICHIGAN LANGUAGE CRAFTERS
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 Pathologist
2225X00000XOccupational Therapist
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1558192385
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHIGAN LANGUAGE CRAFTERS
Provider Business Mailing Address
First Line : 10498 CARMER RD
Second Line :
City : FENTON
State : MI
Zip : 48430-2410
Country : US
Telephone Number : 248-202-9061
Fax Number :
Provider Business Practice Location Address
First Line : 202 W SHIAWASSEE AVE # 114
Second Line :
City : FENTON
State : MI
Zip : 48430-2093
Country : US
Telephone Number : 248-780-9030
Fax Number : 810-776-3622
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : RACHAEL IAQUINTO
Credential :
Telephone Number : 248-780-9030
Provider Enumeration Date : 08/13/2024
Last Update Date : 01/07/2026

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Directions to “MICHIGAN LANGUAGE CRAFTERS ” 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.