| NPI | 1477718393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA KAY SPAULDING Speech Language Pathologist 317-938-3216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004203a) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2012-06-26 |