Nerissa Sukarukoff, CCC-SLP

Speech-Language Pathologist · White Lake, MI

Individual Active NPI

NPI number 1609368240

Practice location

9274 Steephollow Drive
White Lake, MI 48386
Phone
(313) 410-0471

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NPI record

NPI
1609368240
Entity type
Individual (Type 1)
Enumeration date
May 30, 2018
Last updated
May 30, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 7101004649 MI

Mailing address

9274 Steephollow Dr
White Lake, MI 48386-2068

About Nerissa Sukarukoff

Nerissa Sukarukoff, CCC-SLP is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 9274 Steephollow Drive, White Lake, MI 48386. The NPI number 1609368240 was assigned on May 30, 2018 and the record was last updated on May 30, 2018.

Nerissa Sukarukoff lists a license in the registry: #7101004649 (MI) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nerissa Sukarukoff, CCC-SLP?

The NPI number is 1609368240.

What is the phone number of Nerissa Sukarukoff?

The phone number listed for the practice location is (313) 410-0471.

Where is Nerissa Sukarukoff located?

9274 Steephollow Drive, White Lake, MI 48386.

What is the taxonomy code for Nerissa Sukarukoff?

The primary taxonomy code is 235Z00000X – Speech-Language Pathologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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