Dragonflyaway LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

DRAGONFLYAWAY LLC

Practice address

9450 Cherrywood Rd
Clarkston, MI 48348-2504

Phone

(248) 444-4946

NPI assigned

Jul 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alison Malkowych, MA, CCC-SLP

Title

Speech Language Pathologist

Phone

(248) 444-4946

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1295563583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9450 CHERRYWOOD RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482504",
            "telephone_number": "248-444-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9450 CHERRYWOOD RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483482504",
            "telephone_number": "248-444-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLYAWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "MALKOWYCH",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "248-444-4946",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.