| Lakeshore Speech Services, Llc | |
| 
					8900 Mica Dr, Zeeland, MI 49464-8344  | |
| (616) 405-6653 | |
| Not Available | 
| Full Name | Lakeshore Speech Services, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Speech-language Pathologist | 
| Location | 8900 Mica Dr, Zeeland, Michigan | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215435748 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (Michigan) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Lakeshore Speech Services, Llc 8900 Mica Dr, Zeeland, MI 49464-8344 Ph: () -  | Lakeshore Speech Services, Llc 8900 Mica Dr, Zeeland, MI 49464-8344 Ph: (616) 405-6653  | 
Mrs. Jami Michelle Petersen, MA, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 400 S State St Ste 100, Zeeland, MI 49464 Phone: 616-772-1370 Fax: 616-772-9774  | |
Michelle Konynenbelt,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653  | |
Martha Veldkamp,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8333 Felch St, Zeeland, MI 49464 Phone: 616-772-4644  | |
Josilyn Vandewaa, MA CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 320 E Central Ave, Zeeland, MI 49464 Phone: 616-772-9191  | |
Kristen Van De Riet,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10263 Chicago Dr, Zeeland, MI 49464 Phone: 616-422-0922  | |
Derek James Knoth,  Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 320 E Central Ave, Zeeland, MI 49464 Phone: 616-772-9191  |