Individual
OLIVIA ANDERSON-LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41980 CHERRY HILL RD, NOVI, MI 48375
(248) 470-2475
Mailing address
41980 CHERRY HILL RD, NOVI, MI 48375-2505
(248) 470-2475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01097039
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01097039
ASHA
MI
Enumeration date
12/13/2013
Last updated
12/13/2013
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