Organization
SUNFLOWER SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ANN DONNELLY M.S. (SLP/OWNER)
(269) 235-9821
Entity
Organization
Contact information
Practice address
45 N WHITTAKER STREET, SUITE 204, NEW BUFFALO, MI 49117
(269) 235-9821
Mailing address
45 N WHITTAKER STREET, SUITE 204, NEW BUFFALO, MI 49117
(269) 235-9821
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
01/24/2022
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