Doctor Name: | JENNIFER R GRECA |
NPI Number: | 1467846808 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA,CCC, SLP |
License Number: | 7101001686 |
Business Practice Address: | 2725 Packard St Suite 101 Ann Arbor, MI - 481083318 |
Business Phone Number: | 7346770200 |
Business Fax Number: | 7346773310 |
Mailing Address: | 2725 Packard St, Suite 101 ANN ARBOR |
State: | MI |
Postal Code: | 481083318 |
Phone Number: | 7346770200 |
Fax Number: | 7346773310 |
NPI Enumeration Date: | 03/24/2015 |
NPI Last Update Date: | 03/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7101001686 |
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 |