Individual
MRS. GOUTHAMI SRAVANTHI ERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
44200 WOODWARD AVE.,, SUIT # 201, PONTIAC, MI 48341
(248) 334-9490
(248) 636-1170
Mailing address
44200 WOODWARD AVE, SUIT # 201, PONTIAC, MI 48341-5045
(248) 334-9490
(248) 636-1170
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1601000257
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601000257
AUDIOLOGY
MI
Enumeration date
02/04/2008
Last updated
11/02/2010
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