Individual
LYNNE RENE' PITTELKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6105 WILSON AVE SW, WYOMING, MI 49418-9714
(616) 486-5055
Mailing address
5493 FAWN LAKE DR, SHELBYVILLE, MI 49344-9780
(616) 430-5522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MI
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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