Individual
SHELLY ANN SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC/SLP
Contact information
Practice address
2151 LOON LAKE RD, WIXOM, MI 48393-1648
(248) 956-4040
Mailing address
2761 DUFFERS LN, COMMERCE TOWNSHIP, MI 48390-1718
(248) 506-8933
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101003659
MI
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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