Individual
SHELBY NATION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3518 INNSDALE DR, NEW CASTLE, IN 47362-1700
(765) 644-0500
(765) 644-0510
Mailing address
3518 INNSDALE DR, NEW CASTLE, IN 47362-1700
(765) 644-0500
(765) 644-0510
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002635A
IN
Other
Enumeration date
07/18/2014
Last updated
06/26/2015
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