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Aac on the Lakeshore, PLLC

NPI 1821647488ActiveOrganization· Speech-Language Pathologist· Grand Rapids, MI

Speech-Language Pathologist in Grand Rapids, Michigan, registered in NPPES in September 2019. The authorized official on file is Linda A. Kelley, MA, CCC-SLP, Speech-Language Pathologist. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1821647488
StatusActive
Entity typeOrganization
NPI issuedSep 6, 2019
Last updated in NPPESDec 19, 2025
Certified by providerDec 19, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Speech-Language Pathologist Primary235Z00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (MI)

Medicare sources and data years

Other Speech-Language Pathologist providers in Grand Rapids

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