Individual
MRS. AMY L. SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Mailing address
46200 PORT ST, PLYMOUTH, MI 48170-6048
(734) 454-0866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12125514
MI
235Z00000X
Speech-Language Pathologist
7101001310
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12125514
ASHA
MI
01
—
7101001310
STATE OF MICHIGAN SPEECH-LANGUAGE PATHOLOGIST LICENSE
MI
Enumeration date
12/13/2016
Last updated
12/13/2016
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