Organization
RIVERFRONT SPEECH THERAPY LLC
Active
Other names
Riverfront Speech Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA EXNER MA CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(734) 808-1505
Entity
Organization
Contact information
Practice address
3186 PARKWOOD ST, TRENTON, MI 48183-3659
(734) 818-1508
Mailing address
3186 PARKWOOD ST, TRENTON, MI 48183-3659
(734) 818-1508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205330941
NPI
—
01
—
14258076
CAQH ID
—
01
—
15142810
CAQH ID
—
01
—
1912591587
NPI
—
Enumeration date
05/12/2021
Last updated
05/12/2021
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