Individual
ELIZABETH A. FAUSONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC,SLP
Contact information
Practice address
2050 BRETON RD SE STE 107, GRAND RAPIDS, MI 49546-5547
(616) 432-9059
(616) 226-5543
Mailing address
2050 BRETON RD SE STE 107, GRAND RAPIDS, MI 49546-5547
(616) 822-6272
(616) 226-5543
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/10/2010
Last updated
08/15/2023
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