Organization
BLUE WATER SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER REYNOLDS SLP (PRESIDENT)
(251) 767-2597
Entity
Organization
Contact information
Practice address
7950 CABERFAE TRL, CLARKSTON, MI 48348-3707
(251) 767-2597
Mailing address
7950 CABERFAE TRL, CLARKSTON, MI 48348-3707
(251) 767-2597
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
7101005105
MI
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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