Organization
EXEMPLARY SPEECH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN N HEATOR-DIETSCHE MA CCC-SLP (OWNER/ SLP)
(616) 300-5495
Entity
Organization
Contact information
Practice address
2880 WILSON AVE SW, GRANDVILLE, MI 49418-1221
(616) 300-5495
(616) 469-1464
Mailing address
2880 WILSON AVE SW, WYOMING, MI 49418-1221
(616) 300-5495
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
01/05/2024
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