Tamara Afetian, MACCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Livonia, MI
NPI 1548600620 · NPPES record last updated Jul 3, 2013
Key facts
- NPI
- 1548600620
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 19988 Gary LN
Livonia, MI 48152-1184 - Phone
- (734) 420-3442
- NPI assigned
- Jul 3, 2013
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | MI | Yes |
Addresses
Primary practice location
19988 Gary LN
Livonia, MI 48152-1184
Mailing address
19988 Gary LN
Livonia, MI 48152-1184
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All providers in Livonia, 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 Jul 3, 2013. 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.