JACQUELYNE O KERIAKO BS
NPI 1770717316
Specialist/Technologist - Speech-Language Assistant in Grand Rapids, MI
Active since May 12, 2009
1490 E BELTLINE AVE SE, GRAND RAPIDS, MI 49506(616) 940-0040(616) 940-8151 Get Directions Write a Review
About Jacquelyne O Keriako Bs NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYNE O KERIAKO BS (NPI 1770717316) is an individual speech-language assistant in Grand Rapids, Michigan and active in the NPI registry since May 2009.
NPPES Registry Identity
NPI1770717316
Entity TypeIndividualFemale
Primary Taxonomy2355S0801X
Provider Legal NameJACQUELYNE O KERIAKOCredential: BS
Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336
Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336 · (616) 940-0040 · Fax (616) 940-8151
Phone(616) 940-0040
Fax(616) 940-8151
Sole ProprietorNo
Enumeration DateMay 12, 2009
✔ NPI 1770717316 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialist/Technologist · Speech-Language AssistantSpeech, Language and Hearing Service Providers
Taxonomy Code2355S0801X
1490 E BELTLINE AVE SE, Grand Rapids, MI 49506
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Speech-Language Pathologist
1490 E BELTLINE AVE SE
GRAND RAPIDS, MI 49506
GRAND RAPIDS, MI 49506
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770717316, enumerated as an "individual" on May 12, 2009.
The provider is located at 1490 E BELTLINE AVE SE GRAND RAPIDS, MI 49506 and the phone number is (616) 940-0040.
Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.
