Individual
MR. DANIEL HIMSTEDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A. CCC-SLP
Contact information
Practice address
G-4466 W. BRISTOL RD, FLINT, MI 48532
(810) 342-5374
Mailing address
315 S CHAPMAN ST, CHESANING, MI 48616-1303
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12005836
ASHA MEMBER NUMBER
MI
Enumeration date
05/09/2007
Last updated
07/08/2007
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