Individual
GABRIELLE ALI BAZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26832 ROCHELLE ST, DEARBORN HEIGHTS, MI 48127-3646
(313) 686-1259
Mailing address
26832 ROCHELLE ST, DEARBORN HEIGHTS, MI 48127-3646
(313) 686-1259
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0095958284
—
MI
Enumeration date
11/07/2022
Last updated
11/07/2022
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