Individual
RITA R PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
200 S JORDAN AVE, DEPARTMENT OF SPEECH AND HEARING SCIENCES, BLOOMINGTON, IN 47405-7002
(812) 855-3886
(812) 855-5531
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005543A
IN
235Z00000X
Speech-Language Pathologist
2372
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42800200
—
WI
Enumeration date
04/18/2006
Last updated
11/19/2020
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