Organization
SLC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LANDRIA MONIQUE SEALS M,A., CCC-SLP (CEO)
(866) 752-0899
Entity
Organization
Contact information
Practice address
36500 FORD RD, #229, WESTLAND, MI 48185-3769
(866) 752-0899
(203) 604-0602
Mailing address
36500 FORD RD, #229, WESTLAND, MI 48185-3769
(866) 752-0899
(203) 604-0602
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/07/2010
Last updated
09/07/2010
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