Individual
MICHELLE KONYNENBELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8900 MICA DR, ZEELAND, MI 49464-8344
(616) 405-6653
Mailing address
8900 MICA DR, ZEELAND, MI 49464-8344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000925
MI
Other
Enumeration date
09/03/2015
Last updated
03/17/2018
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