Individual
DEMI OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Mailing address
235 WEALTHY ST SE, GRAND RAPIDS, MI 49503-5247
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
30004007
NC
235Z00000X
Speech-Language Pathologist
Primary
7101009739
MI
235Z00000X
Speech-Language Pathologist
—
NC
Other
Enumeration date
07/29/2024
Last updated
02/02/2026
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