NPI 1003174236

Tommi Ann Wilde, SLP

Practitioner Speech-Language Pathologist Grand Rapids, MI

Practice location

Address: 2900 Charlevoix Dr SE Suite 200, Grand Rapids, MI 49546-7085
Phone: (800) 684-8049
Mailing address: 23 Pied CT, Orlando, FL 32828-7132

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SA8222 (FL)

Other Speech-Language Pathologist providers in Michigan →

Registry record

NPI: 1003174236
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2012
Record last updated: 25 Apr 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.