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Organization

SLC THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANDRIA SEALS GREEN M.A., CCC-SLP (EXECUTIVE DIRECTOR)
(866) 752-0899
Entity
Organization

Contact information

Practice address
29240 BUCKINGHAM SUITE 1, LIVONIA, MI 48154
(866) 752-0899
(203) 604-0602
Mailing address
36500 FORD ROAD, #229, WESTLAND, MI 48185
(866) 752-0899
(203) 604-0602

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
235Z00000X
Speech-Language Pathologist
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
261QA3000X
Augmentative Communication Clinic/Center
003069
CT
261QH0700X
Hearing and Speech Clinic/Center
Primary
003069
CT

Other

Enumeration date
06/28/2011
Last updated
06/28/2011
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