Individual
MALLORY VELTEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
(616) 306-7157
Mailing address
1221 E 16TH ST, HOLLAND, MI 49423-9127
(616) 396-7095
(616) 306-7157
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12151073
MI
235Z00000X
Speech-Language Pathologist
7101000142
MI
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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