| NPI | 1982361507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH WALLACE Speech Language Pathologist 812-596-0047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 222Q00000X Developmental Therapist | |
| 225X00000X Occupational Therapist | |
| 225100000X Physical Therapist | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2024-01-25 |