| NPI | 1407020662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUANNE DEVRIES Owner 317-578-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IN 22002648) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |