| Organization Name: | KALAMAZOO SPEECH ASSOCIATES, LLC |
| NPI Number: | 1558785451 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JENNIFER SHEPHARD CROUSE (CO-OWNER/SPEECH-LANGUAGE PATHOLOGIS) |
| Mailing Address: | 1011 W Maple St Suite 300 Kalamazoo |
| State: | MI US |
| Postal Code: | 490081899 |
| Phone Number: | 2693437811 |
| Fax Number: | 2693432810 |
| NPI Enumeration Date: | 02/12/2014 |
| NPI Last Update Date: | 02/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 7101000979 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| 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 |