Individual
JAMIE Z REVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
800 N OLD WOODWARD AVE STE 200, BIRMINGHAM, MI 48009-3802
(248) 881-9713
Mailing address
932 N GLENGARRY RD, BLOOMFIELD HILLS, MI 48301-2228
(248) 470-5110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101007929
MI
Other
Enumeration date
11/26/2025
Last updated
11/26/2025
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