Individual
MR. NATHAN VANDEVEN CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.,CCC-SLP
Contact information
Practice address
24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48075-2436
(248) 483-7804
Mailing address
24445 NORTHWESTERN HWY STE 100, SOUTHFIELD, MI 48075-2436
(248) 483-7804
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14034242
MI
Other
Enumeration date
12/11/2012
Last updated
12/11/2012
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