Organization
NORTHERN GEMS SPEECH-LANGUAGE AND FEEDING THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER MICHELLE FREIMARK CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(989) 701-4909
Entity
Organization
Contact information
Practice address
220 W HOUGHTON AVE, WEST BRANCH, MI 48661-1220
(989) 701-4909
Mailing address
1958 MILDRED DR, WEST BRANCH, MI 48661-9445
(989) 701-4909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831873090
NPI TYPE 1
MI
01
—
7101007385
MICHIGAN SLP LICENSE
MI
Enumeration date
06/28/2023
Last updated
01/31/2025
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