| NPI | 1437731114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY DIEKHOFF Speech Language Pathologist 317-883-7275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-22 |
| Last Update Date | 2021-04-22 |