Laurie Ann Bahlke, MA CCC-SLP

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

NPI 1255423422 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1255423422
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
ASHA 12043711 (MI)
Practice address
1101 Health Professions Building
Mt Pleasant, MI 48859-0001
Phone
(989) 774-7289
Fax
(989) 774-1891
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
ASHA 12043711MIMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X ASHA 12043711 MI Yes

Addresses

Primary practice location

1101 Health Professions Building
Mt Pleasant, MI 48859-0001

Mailing address

1101 Health Professions Building
Mt Pleasant, MI 48859-0001
Phone (989) 774-7289

Other identifiers

IdentifierTypeStateIssuer
12043711OtherMIASHA NUMBER

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.