Individual
RODERICK WRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
9662 64TH AVE, ALLENDALE, MI 49401-9314
(616) 990-9284
Mailing address
6181 LAKE MICHIGAN DR # 103, ALLENDALE, MI 49401-9244
(616) 990-9284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7101008817
MI
235Z00000X
Speech-Language Pathologist
Primary
SAH-2024-0053
NM
Other
Enumeration date
01/23/2023
Last updated
09/12/2024
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