Individual
AUDRA GEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 455-7300
Mailing address
4118 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001148
MI
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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