Individual
SYDNEY STIVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
3200 W LIBERTY RD STE F, ANN ARBOR, MI 48103-9180
(734) 780-7852
Mailing address
415 W OREGON RD, ADRIAN, MI 49221-1332
(517) 442-2241
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005839
MI
Other
Enumeration date
05/24/2018
Last updated
03/28/2019
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