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

Nina Petrykowski

Individual provider Speech-Language Pathologist · NPI 1548106958

Nina Petrykowski is a Qualified Speech Language Pathologist in Macomb, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2026

Practice location Address checks out

19550 Potomac Dr
Macomb, MI 48044-4234
Phone: (586) 484-0870
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 7152001350 (MI)

Record details

NPI number1548106958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address19550 Potomac Dr, Macomb, MI 48044-4234

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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