Individual
HANNAH PETTINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
7086 8TH AVE, JENISON, MI 49428-9352
(616) 667-9551
Mailing address
351 JAMES AVE SE # LEVEL1, GRAND RAPIDS, MI 49503-4732
(616) 610-1960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101006401
MI
Other
Enumeration date
08/01/2019
Last updated
08/01/2019
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