Elise Decker
Individual provider Active NPI Speech-Language Pathologist · Houghton Lake, MI
NPI 1073155016 · NPPES record last updated Oct 10, 2019
Key facts
- NPI
- 1073155016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 2280 Tower Hill Rd
Houghton Lake, MI 48629-8961 - Phone
- (989) 422-5153
- NPI assigned
- Oct 10, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
2280 Tower Hill Rd
Houghton Lake, MI 48629-8961
Mailing address
3049 Wausaukee Dr NE
Grand Rapids, MI 49525-1916
Other providers in Houghton Lake, MI
- Vanessa Castro
- Kelly L Christian
- Michael Gerald Coon
- Michael J.G. Coon
- Stacey Lynn Crane
- Kevin T. Denlinger
- Jeanne Marie Dietrich
- Allison Docherty
- Doctors K&R HL PLLC
- Mercedes Erica Emard
All providers in Houghton Lake, 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 Oct 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.