Individual
TATIA L KORTEPETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4340 STRAWFLOWER DR, INDIANAPOLIS, IN 46203-6924
(317) 282-2506
(317) 881-3421
Mailing address
4340 STRAWFLOWER DR, INDIANAPOLIS, IN 46203-6924
(317) 282-2506
(317) 881-3421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003106
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11585324
CAQH
—
Enumeration date
11/01/2006
Last updated
07/08/2007
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