| Mrs Jami Michelle Petersen, MA, CCC-SLP | |
|
400 S State St Ste 100, Zeeland, MI 49464-2067 | |
| (616) 772-1370 | |
| (616) 772-9774 |
| Full Name | Mrs Jami Michelle Petersen |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 400 S State St Ste 100, Zeeland, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104498278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101003964 (Michigan) | Primary |
| Provider Name | Spectrum Health Primary Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091 |
| Provider Name | Spectrum Health Primary Care Partners |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20040115000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jami Michelle Petersen, MA, CCC-SLP 400 S State St Ste 100, Zeeland, MI 49464-2067 Ph: (616) 772-1370 | Mrs Jami Michelle Petersen, MA, CCC-SLP 400 S State St Ste 100, Zeeland, MI 49464-2067 Ph: (616) 772-1370 |
Michelle Konynenbelt, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8900 Mica Dr, Zeeland, MI 49464 Phone: 616-405-6653 | |
Lakeshore Speech Services, Llc 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 |