Individual
TABATHA KHOURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4307 AUBURN DR, ROYAL OAK, MI 48073-6345
(248) 910-0961
Mailing address
4307 AUBURN DR, ROYAL OAK, MI 48073-6345
(248) 910-0961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101000309
MI
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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