| Duncan Lake Speech Therapy, Llc | |
|
2450 44th St Se Ste 201, Kentwood, MI 49512-9081 | |
| (616) 528-0870 | |
| (616) 591-5684 |
| Full Name | Duncan Lake Speech Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2450 44th St Se Ste 201, Kentwood, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376195925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Provider Name | Emily Rose Grobbel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730793225 PECOS PAC ID: 8628488632 Enrollment ID: I20201103001372 |
| Provider Name | Tamiko E Teshima |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689238727 PECOS PAC ID: 7113339011 Enrollment ID: I20201217002652 |
| Provider Name | Anna Stankovich Dubiak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992460489 PECOS PAC ID: 4284020249 Enrollment ID: I20220331001513 |
| Provider Name | Bethany Barber |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235701129 PECOS PAC ID: 1951788041 Enrollment ID: I20220511000194 |
| Provider Name | Katrina Beals |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1124532973 PECOS PAC ID: 7012385644 Enrollment ID: I20221201001588 |
| Provider Name | Hannah Blackwell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285344853 PECOS PAC ID: 6002260106 Enrollment ID: I20230922002403 |
| Provider Name | Amanda J Redeker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326710195 PECOS PAC ID: 6406204122 Enrollment ID: I20231118000332 |
| Provider Name | Alyssa Misiak |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396439394 PECOS PAC ID: 1658716360 Enrollment ID: I20240304001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Duncan Lake Speech Therapy, Llc 2450 44th St Se Ste 201, Kentwood, MI 49512-9081 Ph: (616) 528-0870 | Duncan Lake Speech Therapy, Llc 2450 44th St Se Ste 201, Kentwood, MI 49512-9081 Ph: (616) 528-0870 |
Mrs. Anne Marie Aurand, MA SLP-CFY Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4707 John C Ct Se, Kentwood, MI 49508 Phone: 616-281-4779 | |
Breanna Leigh Allor, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 617 52nd St Se, Kentwood, MI 49548 Phone: 616-288-8881 | |
Hannah Blackwell, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 | |
Madissen Anne Vacha, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 Fax: 616-591-5684 | |
Alyssa Misiak, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 Fax: 616-591-5684 | |
Caitlin Joan Reyes Cordero, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2450 44th St Se Ste 201, Kentwood, MI 49512 Phone: 616-528-0870 | |
Michelle Meyer Essenberg, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1423 60th St Se, Kentwood, MI 49508 Phone: 616-445-3535 |