Organization
EASTERN MICHIGAN UNIVERSITY
Active
Other names
Autism Collaborative Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTINE KASTLE-RUETHER (MANAGING DIRECTOR)
(734) 487-2890
Entity
Organization
Contact information
Practice address
1055 CORNELL RD, YPSILANTI, MI 48197-1657
(734) 487-2890
Mailing address
1055 CORNELL RD, YPSILANTI, MI 48197-1657
(734) 487-2890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000921
MI
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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