| NPI | 1508164922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE ADELE HERBST VALE President, Speech Pathologist 219-661-0867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IN 22002122A) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IN 22002122A) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |