Active NPI
Wayne State University Speech and Language Center
- Clinic/Center
- Detroit, MI
National Provider Identifier
1598214389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 7101001401
- Legal business name
- WAYNE STATE UNIVERSITY SPEECH AND LANGUAGE CENTER
- Practice address
- 60 Farnsworth St
Detroit, MI 48202-4060 - Phone
- (313) 577-3339
- NPI assigned
- Sep 22, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Maryellen Liening, M.A CCC-SLP
- Title
- Clinical Instructor
- Phone
- (313) 577-3339
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 7101001401 | MI | Primary |
Addresses
Primary practice location
60 Farnsworth St
Detroit, MI 48202-4060
Mailing address
60 Farnsworth
Room 207
Detroit, MI 48202
Phone (313) 577-3339
National Provider Directory
National Provider DirectoryLocations
60 Farnsworth St
Rm 207
Detroit, MI 48202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474502400000",
"number": "1598214389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 FARNSWORTH",
"address_2": "ROOM 207",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-577-3339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 FARNSWORTH ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482024060",
"telephone_number": "313-577-3339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAYNE STATE UNIVERSITY SPEECH AND LANGUAGE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-22",
"last_updated": "2016-09-22",
"status": "A",
"authorized_official_last_name": "LIENING",
"authorized_official_first_name": "MARYELLEN",
"authorized_official_title_or_position": "CLINICAL INSTRUCTOR",
"authorized_official_telephone_number": "313-577-3339",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A CCC-SLP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MI",
"license": "7101001401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
- Wayne State University
- Wayne State University
- Wayne State University Psychology Clinic
- Wayne State University School of Medicine
- Wayne State University School of Medicine
- Wayne State University/Detroit Medical Center
- Melanie Yvonne Wayne
- Lisa Kathryn Waynick, PA
- Wce, LLC (CoOp Optical)
- Wce, LLC (Coop Optical)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.