Duncan Lake Speech Therapy, LLC

NPI #1316827066 in Kentwood, Michigan

Provider Information

NPI Number: 1316827066
Entity Type: Organization
Organization Name: Duncan Lake Speech Therapy, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DUNCAN LAKE SPEECH THERAPY, LLC
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 4, 2025
Last Updated: Sep 4, 2025

Practice Location

Address: 2450 44TH ST SE STE 201
City: Kentwood
State: Michigan
ZIP Code: 49512-9081
Phone: (616) 528-0870

Authorized Official

Name: TAMIKO E TESHIMA, MA, CCC-SLP
Title: PRACTICE OWNER
Phone: (616) 528-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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