Individual
SUSAN CORINNE TANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3215 E THOMPSON RD, INDIANAPOLIS, IN 46227-6682
(317) 782-8888
Mailing address
130 E RIDGEVIEW DR, BLOOMINGTON, IN 47401-7316
(845) 641-9964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46003857A
IN
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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