Individual
MRS. TASHA LINNEA VAARA-SUYDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
113 RIVER STREET, FENTON, MI 48430-2697
(810) 519-8227
(810) 519-8056
Mailing address
113 RIVER STREET, FENTON, MI 48430-2697
(810) 519-8227
(810) 519-8056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01092446
MI
Other
Enumeration date
02/09/2015
Last updated
02/09/2015
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