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Individual

MRS. KATHLEEN SIPPEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA CCC- SLP

Contact information

Practice address
7424 SHADELAND STATION WAY, INDIANAPOLIS, IN 46256-3925
(317) 288-7606
Mailing address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
16908
CA
235Z00000X
Speech-Language Pathologist
Primary
22004949A
IN

Other

Enumeration date
12/22/2009
Last updated
02/25/2022
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