Doctor Name: | MR. STEVEN STARLL |
NPI Number: | 1356330849 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. CCC-SLP |
License Number: | |
Business Practice Address: | 1545 Kingsway Ct Suite 206b Trenton, MI - 481831952 |
Business Phone Number: | 7346753908 |
Business Fax Number: | 7346753925 |
Mailing Address: | 26650 Coachlight St, WOODHAVEN |
State: | MI |
Postal Code: | 481834391 |
Phone Number: | 7346769425 |
Fax Number: | 7346753925 |
NPI Enumeration Date: | 10/18/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |