DR. Thomas Laurie Southern JR., SLPD

NPI #1558981076 in Macomb, Michigan

Provider Information

NPI Number
1558981076
Entity Type
Individual
Name
DR. Thomas Laurie Southern JR., SLPD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
SLPD
Enumeration Date
Apr 24, 2020
Last Updated
Jun 2, 2020

Practice Location

Address
53359 CHAMPLAIN ST
City
Macomb
ZIP Code
48042-3739
Phone
(586) 859-9607

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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