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

Olivia Misiak

Individual provider Speech-Language Pathologist · NPI 1235812017

Olivia Misiak is a Qualified Speech Language Pathologist in West Bloomfield, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
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Practice location Address checks out

6900 Orchard Lake Rd Ste 114
West Bloomfield, MI 48322-3424
Phone: (248) 655-5975
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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 7152000574 (MI)

Record details

NPI number1235812017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 9, 2023
Last updated in NPPESJune 8, 2024
Certification dateJune 8, 2024
Mailing address6900 Orchard Lake Rd Ste 114, West Bloomfield, MI 48322-3424

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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