Provider Demographics
NPI:1033351218
Name:CUMMINGS, DENISE (AUD)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3500 WEST MAPLE - C
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301
Mailing Address - Country:US
Mailing Address - Phone:248-203-9760
Mailing Address - Fax:248-203-6690
Practice Address - Street 1:3500 W MAPLE RD
Practice Address - Street 2:C
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-3308
Practice Address - Country:US
Practice Address - Phone:248-203-9760
Practice Address - Fax:248-203-6690
Is Sole Proprietor?:No
Enumeration Date:2009-04-02
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000458231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist