Unknown Individual – Speech-Language Pathologist, NPI 1205372190

Unknown Individual is a healthcare provider. based in Saint clair shores, Michigan. specializing in Speech-Language Pathologist. They hold a License No. 7101001309 (MI). The NPI Number for Unknown Individual is 1205372190

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205372190
Phone
Not provided
Address
22624 LINCOLN ST
Deactivation Date
30 October 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 22624, Lincoln Street, Saint Clair Shores, Macomb County, Michigan, 48082, United States

    SAINT CLAIR SHORES, MI 480821741

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48082)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1205372190?
NPI 1205372190 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Saint Clair Shores, Michigan as the reference point for Unknown Individual, then confirm.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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