| NPI | 1013961416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DAWN MCDANIEL President 812-455-6928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002237) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-04-20 |