Individual
CAROLYN M KOLEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
27450 SCHOENHERR RD, SUITE 100, WARREN, MI 48088-6683
(586) 582-7825
(586) 582-7826
Mailing address
46322 HOUGHTON DR, SHELBY TOWNSHIP, MI 48315-5328
(586) 726-7568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5171931
—
MI
Enumeration date
07/02/2007
Last updated
07/08/2007
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