| Courtney Lyn Dumouchelle, MS, CCC-SLP | |
|
627 Elliott Ave, Grand Haven, MI 49417-1040 | |
| (616) 447-7799 | |
| (616) 724-4117 |
| Full Name | Courtney Lyn Dumouchelle |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 627 Elliott Ave, Grand Haven, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346815941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 7101007526 (Michigan) | Primary |
| Provider Name | Logan Community Resources Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891917449 PECOS PAC ID: 2961790126 Enrollment ID: O20161004002087 |
| Mailing Address | Practice Location Address |
|---|---|
| Courtney Lyn Dumouchelle, MS, CCC-SLP 540 D Ave Apt 12, Grand Haven, MI 49417-1290 Ph: (574) 333-9402 | Courtney Lyn Dumouchelle, MS, CCC-SLP 627 Elliott Ave, Grand Haven, MI 49417-1040 Ph: (616) 447-7799 |
Ms. Chelsea Miller, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300 | |
Lauren Burkhardt, MA Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 16930 Robbins Rd, Grand Haven, MI 49417 Phone: 616-935-7606 | |
Grand Haven Speech Partners, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Washington Ave # 7, Grand Haven, MI 49417 Phone: 616-414-0891 | |
Kimberly Schoeck, M.A., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 101 Washington Ave, #7, Grand Haven, MI 49417 Phone: 616-414-0891 | |
Mallory Alexis Cronk, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 16760 Lincoln St, Grand Haven, MI 49417 Phone: 616-935-3300 | |
Shannon Marie Mulder, MS-CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 13476 Hidden Creek Ct, Grand Haven, MI 49417 Phone: 616-402-2187 | |
Brittany Leigh Dykstra, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 15100 Whittaker Way, Grand Haven, MI 49417 Phone: 616-935-6280 |