Individual
MRS. SHUMITHA JEYARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22950 NORTHLINE RD, TAYLOR, MI 48180-4696
(734) 287-1230
Mailing address
4868 SHELLBARK DR, YPSILANTI, MI 48197-6837
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14060603
—
235Z00000X
Speech-Language Pathologist
7101000198
MI
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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