Individual provider · Type 1 NPI

Amy Phan

Speech-Language Pathologist · Lake Orion, MI

NPI number 1679483176 Active

Practice location

465 E Jackson St
Lake Orion, MI 48362-3247

Mailing address

1335 Joslyn Rd
Lake Orion, MI 48360-1133

Other practice locations

  • 1155 Joslyn Rd, Lake Orion, MI 48360-1129 · (248) 693-5439

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X7101009530 (MI)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1679483176

Amy Phan's National Provider Identifier is 1679483176, issued on Sep 9, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Lake Orion, MI. The record was last updated on Sep 9, 2026.