IndividualActive
Nerissa Sukarukoff, CCC-SLP
NPI 1609368240 · Speech-Language Pathologist · White Lake, MI
Provider details
- NPI number
- 1609368240
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 7101004649 (MI)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9274 Steephollow Drive
White Lake, MI 48386
Phone: (313) 410-0471
Street-level locationGet directions
Mailing address
9274 Steephollow Dr
White Lake, MI 48386-2068
Registry dates
- Enumerated
- 2018-05-30
- Last updated
- 2018-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.