Individual
JENNA S PERROTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA SLP
Contact information
Practice address
1734 BONNIEVIEW DR, ROYAL OAK, MI 48073-3808
(248) 730-0570
Mailing address
1734 BONNIEVIEW DR, ROYAL OAK, MI 48073-3808
(248) 730-0570
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004255
MI
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/18/2012
Last updated
01/27/2022
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