Individual
MS. EILEEN SIMPSON GOULD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
216 ANTISDEL PL NE, GRAND RAPIDS, MI 49503-3433
(616) 633-9810
Mailing address
216 ANTISDEL PL NE, GRAND RAPIDS, MI 49503-3433
(616) 633-9810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001083
MI
Other
Enumeration date
08/01/2022
Last updated
08/01/2022
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