Most Relevant Information
Provider Data
| NPI Number: | 1003056664 |
| Provider Name: | COREEN L SPENCER M.A., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/23/2009 |
| Last Updated: | 02/23/2009 |
Provider Practice Location
2775 E LANSING DR
EAST LANSING
MI
488237755
Practice Location Phone/Fax
| Phone: | 5173321616 |
| Fax: |
Provider Mailing Location
2775 E LANSING DR
EAST LANSING
MI
488237755
Provider Mailing Phone/Fax
| Phone: | 5173321616 |
| Fax: |