Mrs Jessica Sundholm, is a
Speech-language Pathologist based in Williamston, Michigan. Mrs Jessica Sundholm is licensed to practice in Michigan (license number 7101001121) and her current practice location is
301 Williamston Center Rd., Suite 800, Williamston, Michigan. She can be reached at her office (for appointments etc.) via phone at
(517) 655-2327.
NPI number for Mrs Jessica Sundholm is 1912354754 and her current mailing address is 1330 E. Grand River Ave, Suite B, Portland, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912354754.
Healthcare Provider's Profile
Full Name | Mrs Jessica Sundholm |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 301 Williamston Center Rd., Williamston, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912354754
- Provider Enumeration Date: 05/23/2016
- Last Update Date: 05/23/2016
Medical Identifiers
Medical identifiers for Mrs Jessica Sundholm such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912354754 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 7101001121 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jessica Sundholm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jessica Sundholm, 1330 E. Grand River Ave, Suite B, Portland, MI 48875 Ph: (517) 647-4327 | Mrs Jessica Sundholm, 301 Williamston Center Rd., Suite 800, Williamston, MI 48895 Ph: (517) 655-2327 |
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