Provider Demographics
NPI:1801443882
Name:MEHREEN KAKWAN LLC
Entity type:Organization
Organization Name:MEHREEN KAKWAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MEHREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAKWAN
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:734-765-5527
Mailing Address - Street 1:440 PINE BRAE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2723
Mailing Address - Country:US
Mailing Address - Phone:734-765-5527
Mailing Address - Fax:855-480-7967
Practice Address - Street 1:440 PINE BRAE ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2723
Practice Address - Country:US
Practice Address - Phone:734-765-5527
Practice Address - Fax:855-480-7967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-23
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty