Organization Name: | LEARNING DISABILITIES CLINIC |
NPI Number: | 1538508981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNNE MASTER (OWNER/DIRECTOR) |
Mailing Address: | 25611 Coolidge Hwy Oak Park |
State: | MI US |
Postal Code: | 482371306 |
Phone Number: | 2485456677 |
Fax Number: | 2485452152 |
NPI Enumeration Date: | 06/19/2013 |
NPI Last Update Date: | 06/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |