| Kelly Sanderson, MS, CCC-SLP | |
|
1691 E Us 23 Ste 4, East Tawas, MI 48730-9337 | |
| (989) 479-7550 | |
| Not Available |
| Full Name | Kelly Sanderson |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 1691 E Us 23 Ste 4, East Tawas, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184741290 | NPI | - | NPPES |
| 100462120 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101001457 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Sanderson, MS, CCC-SLP 3781 S Cruzen Rd, Mikado, MI 48745-8761 Ph: (989) 335-3942 | Kelly Sanderson, MS, CCC-SLP 1691 E Us 23 Ste 4, East Tawas, MI 48730-9337 Ph: (989) 479-7550 |
Michelle St. Aubin, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 1691 E Us 23 Ste 4, East Tawas, MI 48730 Phone: 989-310-1962 | |
Mrs. Shelley Lynn Revord, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1691 E Us 23 Ste 4, East Tawas, MI 48730 Phone: 989-310-1962 | |
Nicole J Eklund, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1035 Airport Dr, East Tawas, MI 48730 Phone: 989-310-1603 |