Amy Phan

Speech-Language Pathologist · Lake Orion, MI

Individual Active NPI

NPI number 1679483176

Practice location

465 E Jackson St
Lake Orion, MI 48362-3247
Phone
(248) 693-5460

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NPI record

NPI
1679483176
Entity type
Individual (Type 1)
Enumeration date
September 9, 2026
Last updated
September 9, 2026
Certified
September 9, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 7101009530 MI

Mailing address

1335 Joslyn Rd
Lake Orion, MI 48360-1133

Other practice locations (1)

  • 1155 Joslyn Rd, Lake Orion, MI 48360-1129 · (248) 693-5439

About Amy Phan

Amy Phan is a healthcare provider registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 465 E Jackson St, Lake Orion, MI 48362-3247. The NPI number 1679483176 was assigned on September 9, 2026 and the record was last updated on September 9, 2026.

Amy Phan lists a license in the registry: #7101009530 (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 Amy Phan?

The NPI number is 1679483176.

What is the phone number of Amy Phan?

The phone number listed for the practice location is (248) 693-5460.

Where is Amy Phan located?

465 E Jackson St, Lake Orion, MI 48362-3247.

What is the taxonomy code for Amy Phan?

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.

Other Speech-Language Pathologist providers in Lake Orion

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