Andrew Abdaal
Individual provider Active NPI Speech-Language Pathologist · Holly, MI
NPI 1508628652 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1508628652
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 7101007751 (MI)
- Practice address
- 3830 Rolling Hills Dr
Holly, MI 48442-1955 - Phone
- (248) 688-6954
- NPI assigned
- Jan 24, 2024
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7101007751 | MI | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101007751 | MI | Yes |
Addresses
Primary practice location
3830 Rolling Hills Dr
Holly, MI 48442-1955
Mailing address
3830 Rolling Hills Dr
Holly, MI 48442-1955
Phone (248) 688-6954
Other providers in Holly, MI
- Chandler Abdaal
- Advanced Care Chiropractic PC
- Jennifer Lee Anderson
- Katelyn Marie Anthony
- Jarrod Wayne Bailey
All providers in Holly, 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 Jan 24, 2024. 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.