Louiko Willa Sunday, SLP CFY

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

NPI 1144709783 · NPPES record last updated Aug 13, 2018

Key facts

NPI
1144709783
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
7101005888 (MI)
Practice address
11051 N Cut Rd
Roscommon, MI 48653-9340
Phone
(989) 275-9555
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
Yes

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)
No

State licenses

LicenseStateTypeSpecialty
7101005888MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
C.O.O.R. Intermediate School District Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist
Group: 193400000X SINGLE SPECIALTY GROUP
235Z00000X 7101005888 MI Yes

Addresses

Primary practice location

11051 N Cut Rd
Roscommon, MI 48653-9340

Mailing address

203 N 7TH St
Roscommon, MI 48653-9341
Phone (989) 390-6494

Other providers in Roscommon, MI

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

Sources for this page

Verify at the official NPI Registry.