Individual
MS. JEANNE L LONGTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MACCC-SLP
Contact information
Practice address
555 N BRADLEY HWY, SUITE C, ROGERS CITY, MI 49779-1539
(989) 734-7545
(989) 734-7648
Mailing address
555 N BRADLEY HWY, SUITE C, ROGERS CITY, MI 49779-1539
(989) 734-7545
(989) 734-7648
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01138435
PROFESSIONAL ASHA NATIONAL LICENSE
—
Enumeration date
02/08/2011
Last updated
02/08/2011
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