Most Relevant Information
Provider Data
| NPI Number: | 1003023938 |
| Provider Name: | KATHERINE DEVRIES M.A. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7101004638 |
Most Important Dates
| Enumeration Date: | 05/17/2007 |
| Last Updated: | 01/11/2017 |
Provider Practice Location
1310 E. BELTLINE AVE SE
SUITE 230
GRAND RAPIDS
MI
495064304
Practice Location Phone/Fax
| Phone: | 6162883732 |
| Fax: | 6162889857 |
Provider Mailing Location
1310 E. BELTLINE AVE SE
SUITE 230
GRAND RAPIDS
MI
495064304
Provider Mailing Phone/Fax
| Phone: | 6162883732 |
| Fax: | 6162889857 |