Organization
MMG SPEECH & THERAPEUTIC SERVICES, LLC
Active
Other names
MMG Speech & Language Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE MARIE GREGG (OWNER)
(253) 753-4008
Entity
Organization
Contact information
Practice address
9881 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-6124
(253) 753-4008
(253) 276-0067
Mailing address
9881 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-6124
(253) 753-4008
(253) 276-0067
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
603379234
WA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/24/2015
Last updated
10/14/2024
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