Individual
MS. ERIN E THAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10155 TENNYSON DR, PLYMOUTH, MI 48170-3647
(248) 252-6064
Mailing address
10155 TENNYSON DR, PLYMOUTH, MI 48170-3647
(248) 252-6064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002897
MI
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
01/09/2008
Last updated
09/28/2022
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