Lauryn Doussett

Individual provider Active NPI Speech-Language Pathologist · Trenton, MI

NPI 1043701212 · NPPES record last updated May 29, 2024

Key facts

NPI
1043701212
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7101008900 (MI)
Practice address
1660 Fort St
Trenton, MI 48183-2003
Phone
(734) 304-4159
NPI assigned
May 23, 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

Practice roles

OrganizationSpecialtyStatusNew patients
Psygenics Inc Speech-Language Pathologist Current
since Nov 8, 2024
Accepting new patients

Locations

7800 W Outer Dr
Fl 3
Detroit, MI 48235

27085 Gratiot Ave
Ste 101
Roseville, MI 48066
Phone (586) 204-5560

1660 Fort St
Trenton, MI 48183
Phone (734) 304-4159

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101008900 MI Yes

Addresses

Primary practice location

1660 Fort St
Trenton, MI 48183-2003

Mailing address

7711 Audubon LN
Newport, MI 48166-6601

Other providers in Trenton, MI

All providers in Trenton, MI · Speech-Language Pathologist in Michigan

Sources for this page

Verify at the official NPI Registry.