Individual
KATHRYN MICHELLE MYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1060 E 86TH ST, SUITE 65C, INDIANAPOLIS, IN 46240-1863
(317) 507-8074
(317) 456-5193
Mailing address
PO BOX 40696, INDIANAPOLIS, IN 46240-0696
(317) 507-8074
(317) 456-5193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000000A
LPI
IN
Enumeration date
10/21/2008
Last updated
12/16/2009
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