| Neal Patrick Backus, | |
| 
					17150 Waterloo St, Grosse Pointe, MI 48230-1201  | |
| (313) 473-4730 | |
| Not Available | 
| Full Name | Neal Patrick Backus | 
|---|---|
| Gender | Male | 
| Speciality | Speech-language Pathologist | 
| Location | 17150 Waterloo St, Grosse Pointe, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669290284 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101008914 (Michigan) | Primary | 
| Provider Name | Star Behavior Consultants Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1740698604 PECOS PAC ID: 5193139301 Enrollment ID: O20210129001823  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Neal Patrick Backus, 17150 Waterloo St, Grosse Pointe, MI 48230-1201 Ph: (313) 473-4730  | Neal Patrick Backus, 17150 Waterloo St, Grosse Pointe, MI 48230-1201 Ph: (313) 473-4730  | 
Elizabeth Taylor,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1649  | |
Gretchen Cozad,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1649  | |
Grosse Pointe Speech And Language, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17852 Maumee Ave, Grosse Pointe, MI 48230 Phone: 313-671-5407  | |
Rebecca Marie Campbell,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 468 Cadieux Rd, Grosse Pointe, MI 48230 Phone: 313-473-1649  | |
Audrey Summer Laurila, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17150 Waterloo St Ste 250, Grosse Pointe, MI 48230 Phone: 313-473-4730 Fax: 313-473-4734  | |
Mikayla Scott,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 17150 Waterloo St Ste 250, Grosse Pointe, MI 48230 Phone: 313-473-4730  |