Organization
PROLIFIC SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON JULIEN LANWAY SLPD (BUSINESS OWNER AND PRACTITIONER)
(248) 310-0807
Entity
Organization
Contact information
Practice address
551 ALBANY ST, FERNDALE, MI 48220-3333
(248) 310-0807
Mailing address
551 ALBANY ST, FERNDALE, MI 48220-3333
(248) 310-0807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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