Individual
DOREEN DOTLICH DEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 S CURRY PIKE, BLOOMINGTON, IN 47403-2629
(812) 330-6700
Mailing address
6062 ALIKI MEWS, BLOOMINGTON, IN 47408
(812) 606-1399
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002380A
IN
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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