NPI | 1790997120 |
---|---|
Entity Type | Organization |
Authorized Contact | BETH ANN CHITTICK ANDERSON President 219-688-4045 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002592A) |
Enumeration Date | 2007-05-06 |
Last Update Date | 2011-02-28 |