Organization
SPEECH PATHOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BLUMENTHAL DO (PRESIDENT)
(219) 756-6100
Entity
Organization
Contact information
Practice address
5521 W LINCOLN HWY, SUITE 100, CROWN POINT, IN 46307-1097
(219) 756-6100
(219) 756-6111
Mailing address
5521 W LINCOLN HWY, SUITE 100, CROWN POINT, IN 46307-1097
(219) 756-6100
(219) 756-6111
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003634A
IN
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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