| NPI | 1609493469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LOOPER Owner/Speech Language Pathologist 317-213-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-06-28 |
| Last Update Date | 2020-06-28 |