Individual
COURTNEY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
8119 SUTTON CT, WHITE LAKE, MI 48386-4546
(586) 876-9059
Mailing address
8119 SUTTON CT, WHITE LAKE, MI 48386-4546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
71010001230
MI
Other
Enumeration date
12/02/2014
Last updated
03/01/2017
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