Organization
TRANSFORM SPEECH THERAPY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYU NASH M.A. (MEMBER/OWNER)
(734) 834-9927
Entity
Organization
Contact information
Practice address
401 HALL ST SW STE 185D, GRAND RAPIDS, MI 49503-6502
(734) 834-9927
Mailing address
6790 48TH AVE, HUDSONVILLE, MI 49426-9720
(734) 834-9927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/12/2023
Last updated
01/23/2023
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