Individual
MRS. GRACE MESSERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N 17TH AVE, BEECH GROVE, IN 46107
(317) 786-2261
Mailing address
501 N 17TH AVE, BEECH GROVE, IN 46107-1169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007538A
IN
Other
Enumeration date
08/13/2020
Last updated
08/30/2022
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