Individual
MRS. AUTUMN KATHLEEN HASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
928 W LEWISTON AVE, FERNDALE, MI 48220-1285
(248) 496-0905
Mailing address
928 W LEWISTON AVE, FERNDALE, MI 48220-1285
(248) 496-0905
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004905
MI
Other
Enumeration date
09/10/2007
Last updated
09/10/2024
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