Individual
TREVOR BUSHNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
G3201 BEECHER RD, FLINT, MI 48532-3615
(810) 732-9200
Mailing address
5315 BURWICK RD, GRAND BLANC, MI 48439-9751
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101005733
MI
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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