| NPI | 1912360843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MARIE JOHNSON Owner 317-426-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005399A) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |