Provider Demographics
NPI:1083947998
Name:ARDAN, RITA MCQUADE (CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:MCQUADE
Last Name:ARDAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2511 WHITE TAIL RUN CT
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9674
Mailing Address - Country:US
Mailing Address - Phone:734-665-2043
Mailing Address - Fax:
Practice Address - Street 1:2511 WHITE TAIL RUN CT
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9674
Practice Address - Country:US
Practice Address - Phone:734-665-2043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-09
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI12059587235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist