Intrepid Therapy PLLC

Speech-Language Pathologist · White Lake, MI

Organization Active NPI

NPI number 1912490525

Practice location

9274 Steephollow Dr
White Lake, MI 48386-2068
Phone
(313) 410-0471

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NPI record

NPI
1912490525
Entity type
Organization (Type 2)
Enumeration date
June 8, 2018
Last updated
June 8, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary 235Z00000X 7101004649 MI

Authorized official

Name
Nerissa Sukarukoff, M.A. CCC-SLP
Title
Speech Language Pathologist/ Owner
Phone
(313) 410-0471

About Intrepid Therapy PLLC

Intrepid Therapy PLLC is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 9274 Steephollow Dr, White Lake, MI 48386-2068. The NPI number 1912490525 was assigned on June 8, 2018 and the record was last updated on June 8, 2018.

Intrepid Therapy PLLC 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.

The authorized official for this organization is Nerissa Sukarukoff, M.A. CCC-SLP, Speech Language Pathologist/ Owner.

Frequently asked questions

What is the NPI number of Intrepid Therapy PLLC?

The NPI number is 1912490525.

What is the phone number of Intrepid Therapy PLLC?

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

Where is Intrepid Therapy PLLC located?

9274 Steephollow Dr, White Lake, MI 48386-2068.

What is the taxonomy code for Intrepid Therapy PLLC?

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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