| NPI | 1467055079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HAILS Speech Language Pathologist 317-503-6882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2020-11-17 |