# INDIANA UNIVERSITY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** IU Speech and Hearing Clinics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982693743
- **Authorized official:** MARCIA A HUMPHRESS (FISCAL OFFICER)
- **Authorized official phone:** (812) 855-4156

## Contact information

- **Practice address:** 200 S JORDAN AVE, BLOOMINGTON, IN 47405-7002
- **Practice address phone:** (812) 855-4156
- **Practice address fax:** (812) 855-5531
- **Mailing address:** 2631 EAST DISCOVERY PARKWAY, HEALTH SCIENCES BUILDING, BLOOMINGTON, IN 47408-9059
- **Mailing address phone:** (812) 855-4156
- **Mailing address fax:** (812) 855-5531

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2005
- **Last updated:** 02/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100276980A | — | IN |