Individual
KATHERINE ANN PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3041 COMMERCE DR STE A, FORT GRATIOT, MI 48059-3877
(810) 990-8644
Mailing address
3041 COMMERCE DR STE A, FORT GRATIOT, MI 48059-3877
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000610
MI
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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