Individual
LOGAN HUMITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
38935 ANN ARBOR RD STE 150, LIVONIA, MI 48150-3397
(248) 886-9540
Mailing address
38935 ANN ARBOR RD STE 150, LIVONIA, MI 48150-3397
(580) 880-5855
(248) 780-2947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006250
MI
Other
Enumeration date
11/25/2019
Last updated
12/16/2021
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