Individual
MEGAN BOSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
400 ROUNDS DR, FENTON, MI 48430-1724
(810) 629-0530
Mailing address
PO BOX 419885, BOSTON, MA 02241-9885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
235Z00000X
Speech-Language Pathologist
Primary
7152000351
MI
Other
Enumeration date
01/06/2017
Last updated
06/08/2022
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