RENE BOULLION III (NPI# 1780184408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780184408 |
| Entity Type | Individual |
| Full Name | RENE BOULLION III |
| Practice Address |
350 N Center St Lowell MI 49331-1212 |
| Practice Telephone | 6168978473 |
| Mailing Telephone | 6168978473 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1700 Bronson Way, Kalamazoo, MI 490091095 | 2694593728 |
| Street Address |
350 N CENTER ST |
| City | LOWELL |
| State | MI |
| Zip Code | 49331-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639124308 | Laurel Health Care Company of Lowell | Skilled Nursing Facility | 350 N Center St, Lowell, MI 49331-1212 | 2006-05-23 |
| 1487217055 | Karen Sue Smith | Physical Therapy Assistant | 350 N Center St, Lowell, MI 49331-1212 | 2019-04-18 |
| 1114580958 | Mary Kay Bakker | Occupational Therapy Assistant | 350 N Center St, Lowell, MI 49331-1212 | 2019-04-17 |
| 1225591548 | Alisha Sue Johnson | Physical Therapy Assistant | 350 N Center St, Lowell, MI 49331-1212 | 2019-04-12 |
| 1790248151 | Abby Lanae Thomas | Physical Therapy Assistant | 350 N Center St, Lowell, MI 49331-1212 | 2019-04-11 |
| 1558824920 | Becky Lynn Colter | Occupational Therapy Assistant | 350 N Center St, Lowell, MI 49331-1212 | 2019-04-11 |
| 1003379470 | Cora Ann Farrish | Occupational Therapy Assistant | 350 N Center St, Lowell, MI 49331-1212 | 2019-04-11 |
| 1164985537 | Ruby Ellen Schaefer | Occupational Therapist | 350 N Center St, Lowell, MI 49331-1212 | 2019-04-11 |
| 1871683011 | Laurel Health Care Company of Lowell | Durable Medical Equipment & Medical Supplies | 350 N Center St, Lowell, MI 49331-1212 | 2006-10-16 |
| 1235144940 | David Nelson Vigor | Psychiatry & Neurology | 350 N Center St, Lowell, MI 49331-1212 | 2006-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173771 | Heather Marie Jones | Optometrist | 915 W. Green St Ste 101, Hastings, MI 49331 | 2013-06-06 |
| 1841474012 | Mark Frederic Peterson I | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3351 36th St, Grand Rapids, MI 49331 | 2007-12-24 |
| 1184732323 | Alivio Corporation | Durable Medical Equipment & Medical Supplies | 901 W. Main Street, Suite C, Lowell, MI 49331 | 2006-08-28 |
| 1740707637 | Parker Liu | Pharmacist | 11980 Fulton St E, Lowell, MI 49331 | 2017-08-23 |
| 1962482653 | Martin D Vredenburg | Dentist | 1150 N Hudson St, Lowell, MI 49331-1000 | 2006-01-19 |
| 1407140197 | Spectrum Health Primary Care Partners | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2011-05-31 |
| 1508034141 | Lowell Medical Specialists, PC | Internal Medicine | 1150 N Hudson St, Lowell, MI 49331-1000 | 2008-02-18 |
| 1740660315 | Patricia Sellner | Specialist/Technologist | 990 N Hudson St, Lowell, MI 49331-1006 | 2015-06-08 |
| 1508327370 | Lydia Joan Gerard | Registered Nurse | 1060 Hunt St, Lowell, MI 49331-1079 | 2019-03-26 |
| 1154847184 | Family Dentistry of Lowell | Dentist | 147 N Center St, Lowell, MI 49331-1207 | 2017-08-22 |
| Find all providers in zip 49331 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857768 | Susan Davis Phillips | Speech-Language Pathologist | 519 Latham Dr Fl 2, Lowell, AR 72745-8360 | 2020-10-08 |
| 1669039277 | Communication Moments LLC | Speech-Language Pathologist | 11191 Mcpherson St Ne, Lowell, MI 49331-9766 | 2019-05-20 |
| 1801369830 | Rachel C Williams | Speech-Language Pathologist | 80 Rogers St # Condo606, Lowell, MA 01852-3665 | 2019-01-02 |
| 1801300405 | Sarah Elizabeth Bright | Speech-Language Pathologist | 121 South Ave., Lowell, AR 72745 | 2017-11-20 |
| 1326566753 | Colleen Dowling | Speech-Language Pathologist | 19 Easy St, Lowell, MA 01850-1731 | 2017-09-06 |
| 1679022008 | Heather Friedman | Speech-Language Pathologist | 10 George St Ste 310, Lowell, MA 01852-2293 | 2016-09-27 |
| 1295138451 | Kathleen Elizabeth Dougherty | Speech-Language Pathologist | 468 Rogers St, Lowell, MA 01852-4222 | 2014-10-02 |
| 1639503501 | Alyssa C Parker | Speech-Language Pathologist | 219 Sussex Ave, Lowell, AR 72745-8895 | 2013-08-28 |
| 1467731612 | Yolanda Cardona | Speech-Language Pathologist | 202 Butman Rd, Lowell, MA 01852-3016 | 2011-08-05 |
| 1104060516 | Jana Onda | Speech-Language Pathologist | 434 Sycamore Ln, Lowell, IN 46356-2584 | 2009-04-29 |
| Find all providers in LOWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.