Individual
SANDRA BAKST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
25140 PRAIRIE DR, SOUTHFIELD, MI 48075-2021
(248) 440-1681
Mailing address
25140 PRAIRIE DR, SOUTHFIELD, MI 48075-2021
(248) 440-1681
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101009081
MI
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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