Individual
JONATHAN TYLER RITCHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1912 CONCORD AVE SE, GRAND RAPIDS, MI 49506-4653
(616) 638-6178
Mailing address
1912 CONCORD AVE SE, GRAND RAPIDS, MI 49506-4653
(616) 638-6178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003857
MI
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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