Individual
ALEA THAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CF-SLP
Contact information
Practice address
1159 E M 21, OWOSSO, MI 48867-9037
(989) 607-0070
Mailing address
PO BOX 412031, BOSTON, MA 02241-2031
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7152000364
MI
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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