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Organization

THE HOPE SOURCE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOMI YAMANAKA PH.D. HSPP (EXECUTIVE CLINICAL DIRECTOR)
(317) 517-8817
Entity
Organization

Contact information

Practice address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
(317) 436-7409
Mailing address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 517-8817
(317) 436-7409

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
05/01/2017
Last updated
12/04/2024
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