Provider Demographics
NPI:1417553397
Name:JUSKO MORE COMMUNICATION ASSOCIATES INCORPORATED
Entity Type:Organization
Organization Name:JUSKO MORE COMMUNICATION ASSOCIATES INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-860-4872
Mailing Address - Street 1:7420 PEREGRINE LN
Mailing Address - Street 2:
Mailing Address - City:DAVISON
Mailing Address - State:MI
Mailing Address - Zip Code:48423-3179
Mailing Address - Country:US
Mailing Address - Phone:248-860-4872
Mailing Address - Fax:810-412-4600
Practice Address - Street 1:7420 PEREGRINE LN
Practice Address - Street 2:
Practice Address - City:DAVISON
Practice Address - State:MI
Practice Address - Zip Code:48423-3179
Practice Address - Country:US
Practice Address - Phone:248-860-4872
Practice Address - Fax:810-412-4600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty