Annmarie L Bates, MSCCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Mt Pleasant, MI

NPI 1003394974 · NPPES record last updated Aug 2, 2018

Key facts

NPI
1003394974
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7101000024 (MI)
Practice address
1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001
Phone
(989) 774-3904
Fax
(989) 774-1891
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7101000024MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Michigan University Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101000024 MI Yes

Addresses

Primary practice location

1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001

Mailing address

1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001
Phone (989) 774-3904

Other names

  • Annmarie L Bray Former name

Other providers in Mt Pleasant, MI

All providers in Mt Pleasant, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.