# PEDS SPEECH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518371509
- **Authorized official:** MRS. PAULA ANN GOMOLUCH MACCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (248) 893-6192

## Contact information

- **Practice address:** 30903 W 10 MILE RD STE B, FARMINGTON HILLS, MI 48336
- **Practice address phone:** (248) 893-6192
- **Mailing address:** 30903 W 10 MILE RD STE B, FARMINGTON HILLS, MI 48336-2615
- **Mailing address phone:** (248) 893-6192
- **Mailing address fax:** (248) 457-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | 7101000940 | MI | Yes |

## Other

- **Enumeration date:** 06/17/2014
- **Last updated:** 10/25/2019