Individual
HOLLY A WALSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2450 44TH ST SE STE 201, KENTWOOD, MI 49512-9081
(616) 528-0870
Mailing address
2450 44TH ST SE STE 201, KENTWOOD, MI 49512-9081
(616) 528-0870
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101008114
MI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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