| NPI | 1619610250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE RODEGHERO Speech Language Pathologist 317-419-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2022-04-20 |