Doctor Name: | MICHAEL SCOTT GAJEWSKI |
NPI Number: | 1609968767 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA CCC-SLP |
License Number: | ASHA 01113556 |
Business Practice Address: | 1101 Health Professions Building Mt Pleasant, MI - 488590001 |
Business Phone Number: | 9897747297 |
Business Fax Number: | 9897741891 |
Mailing Address: | 1101 Health Professions Building, MT PLEASANT |
State: | MI |
Postal Code: | 488590001 |
Phone Number: | 9897747297 |
Fax Number: | 9897741891 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | ASHA 01113556 |
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 |