# MS. MARY A DEINNOCENTES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1417152943
- **Gender:** F
- **Credential:** MS,CCC-SLP-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23001831A | IN | Yes |
| 235Z00000X | Speech-Language Pathologist | 22001831A | IN | — |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 09/11/2025
