Individual
MELISSA MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10900 DYLAN DR, INTERLOCHEN, MI 49643-9337
(734) 968-5766
Mailing address
10900 DYLAN DR, INTERLOCHEN, MI 49643-9337
(734) 968-5766
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000324
MI
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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