Individual
MRS. ANNE MARIE KUBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
500 OVAL DR, HEAVILON HALL SLHS, WEST LAFAYETTE, IN 47907-2038
(765) 494-3809
Mailing address
500 OVAL DR, HEAVILON HALL SLHS, WEST LAFAYETTE, IN 47907-2038
(765) 494-3809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004576A
IN
235Z00000X
Speech-Language Pathologist
OH-SP 6552
OH
Other
Enumeration date
05/04/2006
Last updated
03/21/2008
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