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Speech-Language Pathologist · Grand Rapids, MI

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At a glance

2032 S Cross Creek Dr Se, Grand Rapids, MI 49508-8780

NPPES record updated Feb 16, 2023. Public records can lag behind changes at a practice.

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Practice location

2032 S Cross Creek Dr Se
Grand Rapids, MI 49508-8780
Professional details: NPI, taxonomy & registry record
NPI1033817309
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Registry details

Primary taxonomy
Speech-Language Pathologist
Taxonomy code
235Z00000X
Enumeration date
Feb 16, 2023
Record updated
Feb 16, 2023
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Speech-Language Pathologist

235Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2032 S Cross Creek Dr Se
Grand Rapids, MI 49508-8780
Phone
(616) 745-8308
Mailing address
2032 S CROSS CREEK DR SE

GRAND RAPIDS, MI 495088780
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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