Tacke, Susan Andrea

Tacke, Susan Andrea is an sole proprietor health care provider with primary practice located at 75 Wellesley Dr , Pleasant Ridge MI 48069-1242. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Tacke, Susan Andrea can be contacted via phone (248) 854-4824.

Contact Information

Primary practice address
75 Wellesley Dr Pleasant Ridge MI 48069-1242
Phone: (248) 854-4824
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 7101001043 Michigan

Profile Details

NPI number 1336874460
LBN Legal business name Tacke, Susan Andrea
Credentials M.A. CCC-SLP-L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2022
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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