| NPI | 1093937476 |
|---|---|
| Doing Business As | INTERPROFESSIONAL COMMUNITY CLINICS |
| Entity Type | Organization |
| Authorized Contact | BLAIR SCOTT MATTERN Dir Of Clinical Operations 765-285-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002219A) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003456A) |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22001560) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22001905A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002571) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22001890A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002106) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22000224A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22001549) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002004A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22003906A) | |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22002254A) | |
| 231H00000X Audiologist (Licence: IN 23002244A) | |
| 231H00000X Audiologist (Licence: IN 23000144) | |
| 231H00000X Audiologist (Licence: IN 23002284A) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-12-20 |