| NPI | 1174105126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONIKA JEAN RADZIWILL Speech Language Pathologist 317-691-4539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |