Individual
MACKENZIE YON TOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
7701 E 21ST ST, INDIANAPOLIS, IN 46219-2406
(317) 329-1000
Mailing address
7701 E 21ST ST, INDIANAPOLIS, IN 46219-2406
(317) 329-1000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14286829
IN
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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