Individual
CHRISTELLE JEFFREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 REPUBLIC DR, ALLEN PARK, MI 48101-3658
(313) 522-5777
(313) 436-5188
Mailing address
1000 REPUBLIC DR, ALLEN PARK, MI 48101-3658
(313) 522-5777
(313) 436-5188
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004396
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900747294
CHITTER CHATTER, P.C
MI
Enumeration date
10/16/2015
Last updated
10/16/2015
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