Individual
AMANDA VANHUYSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(248) 643-8900
(248) 740-3505
Mailing address
32317 KNAPP AVE, WARREN, MI 48093-1063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000583
MI
Other
Enumeration date
08/30/2015
Last updated
08/30/2015
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