Individual
MICHELLE FULNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8641 FAWN LAKE CIR, INDIANAPOLIS, IN 46278-9776
(317) 294-5242
Mailing address
8641 FAWN LAKE CIR, INDIANAPOLIS, IN 46278-9776
(317) 294-5242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002615A
IN
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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