Individual provider · NPI-1

Maria Juliana Codino, MS-CCC, SLP

Speech-Language Pathologist, · Saint Clair Shores, MI

NPI number1578037966
StatusActive
Last updated in NPPESJan 18, 2019

Details

NPI
1578037966
Entity type
Individual (NPI-1)
Name
Maria Juliana Codino
Credential
MS-CCC, SLP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2019
Last updated
Jan 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,7101005317MIYes

Practice location

21000 E 12 Mile Rd
Saint Clair Shores, MI 48081-1116

Phone 586-779-7610 · Fax 586-779-7882

Mailing address

21000 E 12 Mile Rd
Saint Clair Shores, MI 48081-1116

Phone 586-779-7610 · Fax 586-779-7882

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