| Doctor Name: | ANGELA HART |
| NPI Number: | 1043324726 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SLP |
| License Number: | 12052345 |
| Business Practice Address: | 6010 W Maple Rd Suite 215 West Bloomfield, MI - 483224406 |
| Business Phone Number: | 2485392900 |
| Business Fax Number: | 4192482901 |
| Mailing Address: | 3425 Executive Pkwy, Suite 128 TOLEDO |
| State: | OH |
| Postal Code: | 436061326 |
| Phone Number: | 4195370764 |
| Fax Number: | 4195370948 |
| NPI Enumeration Date: | 08/18/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 12052345 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |