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Nathan Vandeven Conn, M.A.,CCC-SLP

Speech-Language Pathologist, in Southfield, MI. Individual provider (NPI-1).

NPI number1659616035
StatusActive
Last updated in NPPESDec 11, 2012

Details

NPI
1659616035
Entity type
Individual (NPI-1)
Name
Mr. Nathan Vandeven Conn
Credential
M.A.,CCC-SLP
Sex
Male
Sole proprietor
No
Enumeration date
Dec 11, 2012
Last updated
Dec 11, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,14034242MIYes

Practice location

24445 Northwestern Hwy Ste 100
Southfield, MI 48075-2436

Phone 248-483-7804

Mailing address

24445 Northwestern Hwy Ste 100
Southfield, MI 48075-2436

Phone 248-483-7804

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