Doctor Name: | LAUREN MICHELE GARRISI |
NPI Number: | 1134567258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A.C.C.C.S.L.P. |
License Number: | 7101000418 |
Business Practice Address: | 10909 Hannan Rd Romulus, MI - 481741383 |
Business Phone Number: | 7348931020 |
Business Fax Number: | 7348933155 |
Mailing Address: | 10909 Hannan Rd, ROMULUS |
State: | MI |
Postal Code: | 481741383 |
Phone Number: | 7348931020 |
Fax Number: | 7348933155 |
NPI Enumeration Date: | 06/11/2013 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101000418 |
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 |