Individual
KAITLIN TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Mailing address
8350 CRAIG ST, INDIANAPOLIS, IN 46250-3593
(317) 578-0410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006609A
IN
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
05/25/2017
Last updated
09/12/2025
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