Individual
MICHELLE MEYER ESSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 60TH ST SE, KENTWOOD, MI 49508-7065
(616) 445-3535
Mailing address
1423 60TH ST SE, KENTWOOD, MI 49508-7065
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004220
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171753
—
MI
Enumeration date
08/12/2015
Last updated
08/13/2015
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