IndividualActive
Aleta Prysock, AUD
NPI 1154251122 · Audiologist · Grand Rapids, MI
Provider details
- NPI number
- 1154251122
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD
- Sex
- Female
- Sole proprietor
- No
- License
- 1601001244 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
1425 Michigan St Ne Ste a
Grand Rapids, MI 49503-2027
Phone: (616) 459-4514
Fax: (616) 459-5001
Approximate (ZIP-level) locationGet directions
Mailing address
1425 Michigan St Ne Ste a
Grand Rapids, MI 49503-2027
Registry dates
- Enumerated
- 2026-05-21
- Last updated
- 2026-05-21
- Certified
- 2026-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.