Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Thomas Laurie Southern Jr., SLPD

Individual provider Speech-Language Pathologist · NPI 1558981076

Dr. Thomas Laurie Southern Jr., SLPD is a Speech-Language Pathologist in Macomb, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
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Practice location Address checks out

53359 Champlain St
Macomb, MI 48042-3739
Phone: (586) 859-9607
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101001203 (MI)

Record details

NPI number1558981076
Entity typeIndividual (Type 1)
GenderMale
Credentials SLPD
Sole proprietorYes
NPI enumeratedApril 24, 2020
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020

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