| NPI | 1679976971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E BAUKOL President 317-250-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0000044) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |