Individual
JOSILYN VANDEWAA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
320 E CENTRAL AVE, ZEELAND, MI 49464-1706
(616) 772-9191
Mailing address
10583 BROOKVIEW DR, ZEELAND, MI 49464-6823
(616) 836-7471
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005596
MI
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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