Individual
TARA POIKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
13331 REECK CT # 201, SOUTHGATE, MI 48195-3054
(734) 675-3908
Mailing address
3411 WESTPHAL ST, TRENTON, MI 48183-3944
(734) 308-4739
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007589
MI
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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