Active NPI
Sister Speech PLLC
- Speech-Language Pathologist
- West Bloomfield, MI
National Provider Identifier
1609250067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7101002778
- Legal business name
- SISTER SPEECH PLLC
- Practice address
- 4681 Wendrick Dr
West Bloomfield, MI 48323-3650 - Phone
- (248) 214-4646
- NPI assigned
- Jul 16, 2015
- 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
- Maria Dudlar, SPEECH PATHOLOGIST
- Title
- Owner
- Phone
- (248) 214-4646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101002778 | MI | Primary |
Addresses
Primary practice location
4681 Wendrick Dr
West Bloomfield, MI 48323-3650
Mailing address
4681 Wendrick Dr
West Bloomfield, MI 48323-3650
Phone (248) 214-4646
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437004800000",
"number": "1609250067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4681 WENDRICK DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233650",
"telephone_number": "248-214-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4681 WENDRICK DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483233650",
"telephone_number": "248-214-4646"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SISTER SPEECH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-16",
"last_updated": "2015-07-16",
"status": "A",
"authorized_official_last_name": "DUDLAR",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-214-4646",
"authorized_official_credential": "SPEECH PATHOLOGIST"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101002778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.