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

Kaitlin Poddam

Individual provider Speech-Language Pathologist · NPI 1861342396

Kaitlin Poddam is a Qualified Speech Language Pathologist in Monroe, Michigan. Qualified in 2016, 10 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
10
Licensed in
MI
In the registry since
2026

Practice location Address checks out

811 N Macomb St
Monroe, MI 48162-2929
Phone: (419) 482-8647
Fax: (734) 597-2018
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 7101006856 (MI)

Record details

NPI number1861342396
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedFebruary 3, 2026
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026
Mailing address811 N Macomb St, Monroe, MI 48162-2929

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated

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