Individual
MS. LYNNELLE ANN TANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
6700 BROWNS LAKE RD, JACKSON, MI 49201-8379
(517) 768-5200
Mailing address
3420 ANN ARBOR SALINE RD, ANN ARBOR, MI 48103-9777
(616) 822-6582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105731
TX
235Z00000X
Speech-Language Pathologist
Primary
7101002090
MI
Other
Enumeration date
06/24/2010
Last updated
02/13/2014
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