Individual
ELIZABETH BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4625 E STOP 11 RD, INDIANAPOLIS, IN 46237-9120
(317) 313-8456
Mailing address
5233 E 10TH ST, INDIANAPOLIS, IN 46219-4345
(317) 694-8953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005409A
IN
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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