Individual
SYDNEY ROULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1248 S REDBUD DR, LA PORTE, IN 46350-6307
(219) 380-5228
Mailing address
1248 S REDBUD DR, LA PORTE, IN 46350-6307
(219) 380-5228
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003723A
IN
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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