Organization Name: | GROSSE POINTE SPEECH AND LANGUAGE, LLC |
NPI Number: | 1215297908 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE YESKEY (OWNER/SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 17852 Maumee Ave Grosse Pointe |
State: | MI US |
Postal Code: | 482301612 |
Phone Number: | 3136715407 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2012 |
NPI Last Update Date: | 05/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 12053512 |
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 |