Individual
WILLIAM HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MACCC/SLP
Contact information
Practice address
7855 CURRIER DR, PORTAGE, MI 49002-4314
(269) 323-7748
(269) 323-1908
Mailing address
PO BOX 781, STURGIS, MI 49091-0781
(269) 689-5972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101002482
MI
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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