MRS. Susan Andrea Tacke, M.A. CCC-SLP-L
NPI #1336874460 in Pleasant Ridge, Michigan
Provider Information
- NPI Number
- 1336874460
- Entity Type
- Individual
- Name
- MRS. Susan Andrea Tacke, M.A. CCC-SLP-L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.A. CCC-SLP-L
- Enumeration Date
- Jul 21, 2022
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 75 WELLESLEY DR
- City
- Pleasant Ridge
- State
- Michigan
- ZIP Code
- 48069-1242
- Phone
- (248) 854-4824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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