MEDICARE: MRS. JHAY-LAH K PAUL

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	:	1780439661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JHAY-LAH K PAUL

Provider Business Mailing Address
First Line	:	1456 VILLA RD
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-6557
Country	:	US
Telephone Number	:	810-599-4538
Fax Number	:

Provider Business Practice Location Address
First Line	:	36358 GARFIELD RD STE 2
Second Line	:
City	:	CLINTON TOWNSHIP
State	:	MI
Zip	:	48035-1152
Country	:	US
Telephone Number	:	586-221-0705
Fax Number	:	833-427-1163

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2024
Last Update Date	:	09/08/2025

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Directions to “ MRS. JHAY-LAH K PAUL ” Practice Location

Language	Start Address	Practice Location

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