Organization
SPEECH CENTER INDIANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAIZY YORMARK (SPEECH THERAPIST)
(574) 350-3943
Entity
Organization
Contact information
Practice address
2616 S TWYCKENHAM DR, SOUTH BEND, IN 46614-1440
(574) 350-3943
Mailing address
2616 S TWYCKENHAM DR, SOUTH BEND, IN 46614-1440
(574) 350-3943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Enumeration date
10/13/2022
Last updated
02/23/2023
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