| NPI | 1265904551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN GEISE Speech Language Pathologist 317-946-4219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |