Individual
KARISSA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
(260) 497-0328
(260) 497-0904
Mailing address
9426 LIMA RD, FORT WAYNE, IN 46818-8680
(260) 497-0328
(260) 497-0904
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
22006785A
IN
Other
Enumeration date
06/16/2019
Last updated
06/16/2019
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