Individual
MRS. MIRANDA ANNE WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
11697 SANDY BOTTOM DR, SOUTH LYON, MI 48178-9357
(517) 896-3437
Mailing address
11697 SANDY BOTTOM DR, SOUTH LYON, MI 48178-9357
(517) 896-3437
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
ASHA 12146870
—
Other
Enumeration date
04/26/2010
Last updated
04/26/2010
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