Individual
TAYLOR SUSTARSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPD
Contact information
Practice address
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
(765) 265-1888
Mailing address
2631 E DISCOVERY PKWY, BLOOMINGTON, IN 47408-9059
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22008058A
IN
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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