| NPI | 1093920282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY A DICKEY Director President 219-464-9580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: IN 23001381A) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |