Mrs Susan Andrea Tacke, MA CCC-SLP-L - Speech-Language Pathologist in Pleasant Ridge, MI

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Mrs Susan Andrea Tacke, MA CCC-SLP-L is a Speech-language Pathologist based in Pleasant Ridge, Michigan. Mrs Susan Andrea Tacke is licensed to practice in Michigan (license number 7101001043) and her current practice location is 75 Wellesley Dr, Pleasant Ridge, Michigan. She can be reached at her office (for appointments etc.) via phone at (248) 854-4824.

NPI number for Mrs Susan Andrea Tacke is 1336874460 and her current mailing address is 75 Wellesley Dr, Pleasant Ridge, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336874460.

Contact Information

Mrs Susan Andrea Tacke, MA CCC-SLP-L
75 Wellesley Dr,
Pleasant Ridge, MI 48069-1242
(248) 854-4824
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Susan Andrea Tacke
GenderFemale
SpecialitySpeech-language Pathologist
Location75 Wellesley Dr, Pleasant Ridge, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336874460
  • Provider Enumeration Date: 07/21/2022
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mrs Susan Andrea Tacke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336874460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 7101001043 (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 Susan Andrea Tacke 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 AddressPractice Location Address
Mrs Susan Andrea Tacke, MA CCC-SLP-L
75 Wellesley Dr,
Pleasant Ridge, MI 48069-1242

Ph: (248) 854-4824		Mrs Susan Andrea Tacke, MA CCC-SLP-L
75 Wellesley Dr,
Pleasant Ridge, MI 48069-1242

Ph: (248) 854-4824

Reviews and Comments


Speech-Language Pathologist in Pleasant Ridge, MI


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