Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Amy Rose Dieterle, MACCC-SLP

Individual provider Speech-Language Pathologist · NPI 1538476783

Mrs. Amy Rose Dieterle, MACCC-SLP is a Speech-Language Pathologist in South Lyon, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2010
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Practice location Address checks out

26690 Daria Cir W
South Lyon, MI 48178-8093
Phone: (248) 264-6285
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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 12094656 (MI)

Record details

NPI number1538476783
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACCC-SLP
Sole proprietorYes
NPI enumeratedSeptember 9, 2010
Last updated in NPPESSeptember 5, 2013

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