| NPI | 1770843906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA STOUT KOCH Owner 317-464-9067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IN 23002390A) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |