Provider Demographics
NPI:1205158144
Name:PERKINS, KERLINE (MA CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KERLINE
Middle Name:
Last Name:PERKINS
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 1:29551 MORAN ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48336-2740
Mailing Address - Country:US
Mailing Address - Phone:248-478-6705
Mailing Address - Fax:
Practice Address - Street 1:29551 MORAN
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48336-2740
Practice Address - Country:US
Practice Address - Phone:248-478-6705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist