Individual
SAMANTHA NEIRYNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 STEPHENSON HWY, TROY, MI 48083
(248) 951-4000
Mailing address
600 STEPHENSON HWY, TROY, MI 48083-1110
(248) 951-4000
(734) 893-3195
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005693
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7101005693
SPEECH-LANGUAGE PATHOLOGIST EDUCATIONAL LIMIT. LICENSE
MI
Enumeration date
12/07/2015
Last updated
06/18/2018
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