Individual
MISS SIRANDA JO PATCHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(248) 643-8900
Mailing address
42554 HEYDENREICH RD, CLINTON TOWNSHIP, MI 48038-2320
(906) 370-3161
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101005035
MI
Other
Enumeration date
10/09/2017
Last updated
08/25/2020
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