Individual
DENICE ANGELA SANTA MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. , CCC-SLP
Contact information
Practice address
5659 STADIUM DR STE 2, KALAMAZOO, MI 49009-1932
(269) 372-0436
Mailing address
2677 HICKORY NUT LN, KALAMAZOO, MI 49004-3739
(812) 827-6774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005541
MI
Other
Enumeration date
11/30/2018
Last updated
07/30/2021
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