| NPI | 1366076192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL G LANDE Speech Language Pathologist 317-506-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |