Organization
RIDGEWOOD SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON THOMPSON MA CCC-SLP (OWNER)
(248) 921-7794
Entity
Organization
Contact information
Practice address
1105 VILLAGE GREEN DR, ANGOLA, IN 46703-9311
(248) 921-7794
Mailing address
1105 VILLAGE GREEN DR, ANGOLA, IN 46703-9311
(248) 921-7794
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004852A
IN
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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