Individual
ANNA BOSTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(219) 765-2717
Mailing address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007152A
IN
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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