Organization
LAKESHORE SPEECH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KONYNENBELT (SPEECH LANGUAGE PATHOLOGIST)
(616) 405-6653
Entity
Organization
Contact information
Practice address
8900 MICA DR, ZEELAND, MI 49464-8344
(616) 405-6653
Mailing address
8900 MICA DR, ZEELAND, MI 49464-8344
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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