Individual
CHARNA TAMAR GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
715 CLINIC DR, WEST LAFAYETTE, IN 47907-2122
(765) 494-3795
Mailing address
715 CLINIC DR, WEST LAFAYETTE, IN 47907-2122
(765) 494-3795
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003395A
IN
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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