NPI Registry.org

Duncan Lake Speech Therapy, Llc

NPI Registration Record

Provider / OrganizationNPIDate Certified
DUNCAN LAKE SPEECH THERAPY, LLC13761959252021-07-12

The organization Duncan Lake Speech Therapy, Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1376195925. Registration indicates Duncan Lake Speech Therapy, Llc is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Speech-Language Pathologist (Speech-Language Pathologist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Speech-Language Pathologist, Speech, Language and Hearing Service Providers)

Entity TypeOrganization
Provider OrganizationDUNCAN LAKE SPEECH THERAPY, LLC
Practice Office Address3737 LAKE EASTBROOK BLVD SE STE 218
GRAND RAPIDS, MI US
Practice Office Telephone6165280870
Practice Office Fax6165915684
Mailing Address3737 LAKE EASTBROOK BLVD SE STE 218
GRAND RAPIDS, MI 495465989 US
Business Telephone6165280870
Business Fax6165915684
Authorized OfficialTAMIKO E TESHIMA, OWNER AND SLP
6165280870
HPT Codes
CodePractice
License No
State
235Z00000X PRIMARY
Speech, Language and Hearing Service Providers
Speech-Language Pathologist
Speech-Language Pathologist

Speech/Occupational/Physical Therapy/Chiropractor

Speech-Language Pathologist
Speech, Language and Hearing Service Providers
193400000X SINGGroup Code
OPI Codes
Governmental Registrations [CAGE/NCAGE/DUNS]

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