| NPI | 1992406102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY DENISE BROCKMAN Owner 248-760-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-08-10 |