Individual
ANNALIE KONYNDYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 428-4165
Mailing address
1624 GIDDINGS AVE SE, GRAND RAPIDS, MI 49507-2225
(616) 915-9676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005691
MI
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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