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

Jack Richard Warder

Individual provider Speech-Language Pathologist · NPI 1467202945

Jack Richard Warder is a Qualified Speech Language Pathologist in Petoskey, Michigan. Qualified in 2024, 2 years ago. Practices with Therapy Solutions LLC, a 5-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024

Practice location Address checks out

347 Creekside Dr
Petoskey, MI 49770-8676
Phone: (231) 487-0080
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1467202945
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 26, 2024
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024
Mailing address1565 Bear Creek Ln Unit M, Petoskey, MI 49770-8371

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)
Group practice Therapy Solutions Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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