Provider Demographics
NPI:1982971693
Name:SPEECH, LANGUAGE AND LITERACY CENTER, INC.
Entity type:Organization
Organization Name:SPEECH, LANGUAGE AND LITERACY CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-206-3052
Mailing Address - Street 1:41570 HAYES RD
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-5867
Mailing Address - Country:US
Mailing Address - Phone:586-206-3052
Mailing Address - Fax:
Practice Address - Street 1:41570 HAYES RD
Practice Address - Street 2:SUITE A-2
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5867
Practice Address - Country:US
Practice Address - Phone:586-206-3052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty