Individual
JENNIFER KORTEPETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7968 HOOVER LN, INDIANAPOLIS, IN 46260-4954
(317) 332-5965
Mailing address
7968 HOOVER LN, INDIANAPOLIS, IN 46260-4954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200684110
—
IN
05
—
200733150A
—
IN
Enumeration date
03/13/2007
Last updated
05/08/2008
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