Organization
ACTIVE SPEECH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURPREET CHAWLA (OWNER)
(248) 896-1209
Entity
Organization
Contact information
Practice address
5840 N CANTON CENTER RD STE 224, CANTON, MI 48187-2684
(248) 896-1209
Mailing address
480 N CANTON CENTER RD UNIT 871812, CANTON, MI 48187-8773
(248) 896-1209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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