Most Relevant Information
Provider Data
| NPI Number: | 1003277542 |
| Provider Name: | AMY MCINTOSH |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 7101002205 |
Most Important Dates
| Enumeration Date: | 03/11/2016 |
| Last Updated: | 03/11/2016 |
Provider Practice Location
235 WEALTHY ST SE
GRAND RAPIDS
MI
495035247
Practice Location Phone/Fax
| Phone: | 6168408000 |
| Fax: |
Provider Mailing Location
235 WEALTHY ST SE
GRAND RAPIDS
MI
495035247
Provider Mailing Phone/Fax
| Phone: | 6168408000 |
| Fax: |