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 |