Provider Demographics
NPI:1861866501
Name:POINTE, CINDY (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:POINTE
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 1:2050 BRETON RD SE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-5572
Mailing Address - Country:US
Mailing Address - Phone:616-432-9059
Mailing Address - Fax:616-226-5543
Practice Address - Street 1:2050 BRETON RD SE
Practice Address - Street 2:SUITE 107
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-5572
Practice Address - Country:US
Practice Address - Phone:616-432-9059
Practice Address - Fax:616-226-5543
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7101002596235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist