Provider Demographics
NPI:1912190356
Name:FALARDEAU, DANA JOHANNA
Entity type:Individual
Prefix:MRS
First Name:DANA
Middle Name:JOHANNA
Last Name:FALARDEAU
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:JOHANNA
Other - Last Name:ASIALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1699 LANSING RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:MI
Mailing Address - Zip Code:48813-8461
Mailing Address - Country:US
Mailing Address - Phone:517-225-4287
Mailing Address - Fax:
Practice Address - Street 1:1699 LANSING RD STE 2
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:MI
Practice Address - Zip Code:48813-8461
Practice Address - Country:US
Practice Address - Phone:517-225-4287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-20
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000475231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist