Organization
CHILDRENS CENTER FOR GROWTH AND DEVELOPMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ANN ECONOMOU CCC-SLP (OWNER/SPEECH AND LANGUAGE PATHOLOGI)
(810) 991-1211
Entity
Organization
Contact information
Practice address
12319 HIGHLAND RD, SUITE 501, HARTLAND, MI 48353-2946
(810) 991-1211
(810) 991-6425
Mailing address
12319 HIGHLAND RD, SUITE 501, HARTLAND, MI 48353-2946
(810) 991-1211
(810) 991-6425
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/15/2012
Last updated
01/16/2013
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