Individual
SAMUEL MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A., CCC-SLP
Contact information
Practice address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(947) 521-8141
(248) 471-8781
Mailing address
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336-5919
(248) 471-8781
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101006367
—
MI
Enumeration date
11/21/2022
Last updated
11/21/2022
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