IndividualActive
Ajay Gupta, SLP
NPI 1487803466 · Speech-Language Pathologist · Southfield, MI
Provider details
- NPI number
- 1487803466
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- SLP
- Sex
- Male
- Sole proprietor
- No
- License
- 12080163 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
25865 W 12 Mile Rd
Southfield, MI 48034-1817
Phone: (248) 208-7492
Approximate (ZIP-level) locationGet directions
Mailing address
25865 W 12 Mile Rd
Southfield, MI 48034-1817
Registry dates
- Enumerated
- 2008-09-15
- Last updated
- 2008-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.