| NPI | 1912401274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MICHELLE SCHIFANO Speech Language Pathologist 317-694-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4449) |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-12-30 |