Individual
MS. COLLEEN PONTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, CCC-SLP/L
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
46079 GALWAY DR, 46079 GALWAY DR, NOVI, MI 48374-3930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002853
MI
Other
Enumeration date
09/21/2016
Last updated
02/22/2017
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