Individual
MRS. SIDNEY ELIZABETH WYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2922 FULLER AVE NE, GRAND RAPIDS, MI 49505-3459
(616) 570-0925
Mailing address
828 VALLEY AVE NW, GRAND RAPIDS, MI 49504-4072
(517) 331-5230
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101009268
MI
Other
Enumeration date
01/22/2025
Last updated
01/22/2025
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