Individual
KAITLIN ADRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
(317) 520-4748
Mailing address
1353 E MAIN ST, BROWNSBURG, IN 46112-1433
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007390A
IN
235Z00000X
Speech-Language Pathologist
46003008A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300016142
—
IN
Enumeration date
06/21/2018
Last updated
01/30/2020
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