Organization
NABERHAUS THERAPY, INC.
Active
Other names
Building Bridges Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY NABERHAUS (PRESIDENT)
(734) 454-0866
Entity
Organization
Contact information
Practice address
16295 HI LAND TRL, LINDEN, MI 48451-9087
(810) 265-8891
Mailing address
16295 HI LAND TRL, LINDEN, MI 48451-9087
(810) 265-8891
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004496
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14064170
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION (ASHA) CERTIFICATION NUMBER
MI
01
—
7101004496
MICHIGAN SPEECH-LANGUAGE PATHOLOGY LICENSE NUMBER
MI
Enumeration date
12/13/2016
Last updated
12/13/2016
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