| NPI | 1063561660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN WOODSON E.D. 313-341-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MI 3501002615) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 12074769) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: MI 3501002615) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |