| NPI | 1740403195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA FUNK Administrative Assistant 317-774-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003274A) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 235Z00000X Speech-Language Pathologist, (Licence: IN 22003537A) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2008-04-28 |