Individual
MICHELLE MALLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CFY
Contact information
Practice address
42536 HAYES RD, STE. 100, CLINTON TOWNSHIP, MI 48038-6766
(586) 286-9644
Mailing address
14053 MCKINNEY DR, STERLING HEIGHTS, MI 48312-2427
(586) 863-7604
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242.003781
IL
235Z00000X
Speech-Language Pathologist
Primary
7101005294
MI
Other
Enumeration date
09/08/2015
Last updated
09/20/2016
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