Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Demi Oliver, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1639908783

Demi Oliver, CCC-SLP is a Qualified Speech Language Pathologist in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Works from 2 locations. Licensed in Michigan and North Carolina.

Years since qualifying
2
Licensed in
MI, NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

See every abbreviation used in this directory →

Practice location Address checks out

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (616) 840-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7401 Carmel Executive Park Dr Ste 220, Charlotte, NC 28226-4219 — (980) 237-3132

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101009739 (MI)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 30004007 (NC)

Record details

NPI number1639908783
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESFebruary 2, 2026
Certification dateFebruary 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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