Intrepid Therapy Pllc
NPI #1912490525 in White Lake, Michigan
Provider Information
- NPI Number
- 1912490525
- Entity Type
- Organization
- Organization Name
- Intrepid Therapy Pllc
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 8, 2018
- Last Updated
- Jun 8, 2018
Practice Location
- Address
- 9274 STEEPHOLLOW DR
- City
- White Lake
- State
- Michigan
- ZIP Code
- 48386-2068
- Phone
- (313) 410-0471
Authorized Official
- Name
- NERISSA SUKARUKOFF, M.A. CCC-SLP
- Title
- SPEECH LANGUAGE PATHOLOGIST/ OWNER
- Phone
- (313) 410-0471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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