| Duncan Lake Speech Therapy, Llc | |
|
2450 44th St Se Ste 201 Kentwood MI 49512-9081 | |
| (616) 528-0870 | |
| (616) 591-5684 |
| Full Name | Duncan Lake Speech Therapy, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2450 44th St Se Ste 201, Kentwood, Michigan |
| Authorized Official Name and Position | Tamiko E Teshima (PRACTICE OWNER) |
| Authorized Official Contact | 6165280870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Duncan Lake Speech Therapy, Llc 2450 44th St Se Ste 201 Kentwood MI 49512-9081 Ph: (616) 528-0870 | Duncan Lake Speech Therapy, Llc 2450 44th St Se Ste 201 Kentwood MI 49512-9081 Ph: (616) 528-0870 |
| NPI Number | 1316827066 |
|---|---|
| Provider Enumeration Date | 09/04/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316827066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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