IndividualActive
Adam Fry
NPI 1104495365 · Speech-Language Pathologist · Saint Clair Shores, MI
Provider details
- NPI number
- 1104495365
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Phone: (586) 779-7610
Approximate (ZIP-level) locationGet directions
Mailing address
21000 E 12 Mile Rd Ste 111
Saint Clair Shores, MI 48081-1156
Registry dates
- Enumerated
- 2021-06-22
- Last updated
- 2021-06-22
- Certified
- 2021-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.