Provider Demographics
NPI:1518438563
Name:PARENTEAU, CLAIRE (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:PARENTEAU
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:351 W WOODLAND ST
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-2757
Mailing Address - Country:US
Mailing Address - Phone:586-651-4419
Mailing Address - Fax:
Practice Address - Street 1:12900 HALL RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48313-1148
Practice Address - Country:US
Practice Address - Phone:586-323-6290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101000306235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist