Individual
KRISTIE BAUTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4201 VARSITY DR, ANN ARBOR, MI 48108-5005
(734) 926-0740
Mailing address
28853 LINCOLNVIEW DR, FARMINGTON HILLS, MI 48334-5253
(810) 844-3989
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
05/13/2024
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