Individual
MRS. AMANDA CELESTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP
Contact information
Practice address
48681 HAYES RD, SHELBY TWP, MI 48315-4403
(588) 726-7777
Mailing address
18954 BLACKBERRY DR, MACOMB, MI 48042-1833
(586) 201-3237
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005451
MI
Other
Enumeration date
04/27/2017
Last updated
04/27/2017
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