Individual
TIMOTHY CARRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
303 CRANE AVE, ROYAL OAK, MI 48067-1717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004364
MI
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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