| NPI | 1225495054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH BLUMENTHAL President 219-756-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003634A) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |