Individual
NEAL PATRICK BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17150 WATERLOO ST, GROSSE POINTE, MI 48230-1201
(313) 473-4730
Mailing address
17150 WATERLOO ST, GROSSE POINTE, MI 48230-1201
(313) 473-4730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008914
MI
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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