Individual
MS. KATHLEEN V ROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 551-2100
Mailing address
1250 INDIAN MOUND W, BLOOMFIELD HILLS, MI 48301-2260
(248) 404-8674
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101001249
MI
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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