Individual
MRS. ELIZABETH M CALLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
625 N UNION ST, KOKOMO, IN 46901-2907
(765) 454-9748
(765) 450-6664
Mailing address
700 E. FIRMIN STREET, SUITE 209, KOKOMO, IN 46902-2375
(765) 454-9748
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004012A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375489
ANTHEM
IN
05
—
200533240
—
IN
05
—
200533270
—
IN
05
—
200533270A
—
IN
Enumeration date
02/22/2007
Last updated
12/09/2014
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