Provider Demographics
NPI:1982039483
Name:DOUGLAS, NATALIE FRANKO (PHD,CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:FRANKO
Last Name:DOUGLAS
Suffix:
Gender:F
Credentials:PHD,CCC-SLP
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Mailing Address - Street 1:1101 HEALTH PROFESSIONS BLDG
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48859-0001
Mailing Address - Country:US
Mailing Address - Phone:989-774-2597
Mailing Address - Fax:989-774-2405
Practice Address - Street 1:1101 HEALTH PROFESSIONS BLDG
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48859-0001
Practice Address - Country:US
Practice Address - Phone:989-774-2597
Practice Address - Fax:989-774-2405
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2013-12-12
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI12051404OtherASHA