Trevor Bushnell, CCC-SLP
Speech-Language Pathologist, in Flint, MI. Individual provider (NPI-1).
NPI number1780149575
StatusActive
Last updated in NPPESFeb 5, 2019
Details
- NPI
- 1780149575
- Entity type
- Individual (NPI-1)
- Name
- Trevor Bushnell
- Credential
- CCC-SLP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 5, 2019
- Last updated
- Feb 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 101005733 | MI | Yes |
Practice location
G3201 Beecher RdFlint, MI 48532-3615
Phone 810-732-9200
Mailing address
5315 Burwick RdGrand Blanc, MI 48439-9751
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All 57 Speech-Language Pathologist providers in Flint · All 7,738 providers in Flint
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