Individual
SHIE KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1431
(765) 463-7546
Mailing address
2215 CARLISLE RD, WEST LAFAYETTE, IN 47906-1915
(765) 427-8740
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006939A
IN
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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