Individual
JOAN MARIE JERNIGAN TRAVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9256 COLGATE ST, INDIANAPOLIS, IN 46268-1213
(317) 879-1770
(317) 879-9196
Mailing address
9256 COLGATE ST, INDIANAPOLIS, IN 46268-1213
(317) 879-1770
(317) 879-9196
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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