Individual
MACKENZI ASHTYN POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
160 PLAINFIELD VILLAGE DR STE 101, PLAINFIELD, IN 46168-2782
(855) 324-0885
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007733A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22007733A
SPEECH LANGUAGE PATHOLOGY
IN
Enumeration date
04/19/2021
Last updated
04/19/2021
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