Individual
MS. EMILY BUSSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP-CCC
Contact information
Practice address
5250 HERITAGE PKWY, FORT WAYNE, IN 46835-1061
(260) 209-6279
Mailing address
11217 CHARIOT CT, FORT WAYNE, IN 46845-2112
(260) 438-0301
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007520A
IN
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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