Speech Unbound
Organization Active NPI Speech-Language Pathologist · Harrison Township, MI
NPI 1033862602 · NPPES record last updated Feb 2, 2022
Key facts
- NPI
- 1033862602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- SPEECH UNBOUND
- Practice address
- 30353 Manse St
Harrison Township, MI 48045-1872 - Phone
- (586) 221-0705
- Fax
- (833) 427-1163
- NPI assigned
- Feb 2, 2022
- Organization subpart
- No
Authorized official
- Name
- Sarah Renee Puvalowski, SLP
- Title
- Owner
- Phone
- (586) 221-0705
Practitioners 5
-
Megan May Makin, M.A. CCC-SLP-L
-
Sarah Renee Puvalowski, MA, CCC-SLP
-
Amanda Jane Zalucki, MA, CCC-SLP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230915001995 | MI | Part B Supplier - Clinic/Group Practice | 5092179523 |
Receives reassigned benefits from 5 practitioners Practice locations: Ann Arbor, MI; Clinton Township, MI |
National Provider Directory
Locations
36358 Garfield Rd
Ste 2
Clinton Township, MI 48035
Phone (586) 221-0705
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
30353 Manse St
Harrison Township, MI 48045-1872
Mailing address
36358 Garfield Rd Ste 2
Clinton Township, MI 48035-1152
Phone (586) 221-0705
Other providers in Harrison Township, MI
- Shirley Sayles
- Angel Marie Seguin
- Senior Safe, LLC
- Gloria J Severini
- Gina M Smith
- St John Hospital and Medical Center
- St John North Shores Emergency Physicians, P. C.
- St. John Hospital and Medical Center
- St. John North Shores Hospital
- Laura Starr
All providers in Harrison Township, MI · Speech-Language Pathologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.