Individual
ANGELA AUTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
13363 LANTERN RD, FISHERS, IN 46038-3503
(317) 258-9386
Mailing address
13363 LANTERN RD, FISHERS, IN 46038-3503
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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