Individual
KATY MARIE MUNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
138 W HIGHLAND RD, HOWELL, MI 48843-2168
(517) 376-4831
(517) 376-4833
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7151001804
STATE LICENSE
MI
Enumeration date
08/05/2020
Last updated
08/05/2020
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