| NPI | 1821250804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PATRICIA MCNULTY Speech Language Pathologist 317-571-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IN 22004529A) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |