Individual
ELAINA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7340 WATER VIEW LN, ALLENDALE, MI 49401-9656
(616) 202-2078
Mailing address
7340 WATER VIEW LN, ALLENDALE, MI 49401-9656
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7101005013
MI
235Z00000X
Speech-Language Pathologist
Primary
SA22339
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740797943
—
MI
Enumeration date
01/09/2018
Last updated
07/24/2024
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