Individual
MISS TRACY NICHELLE LOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
9165 OTIS AVE STE 101, INDIANAPOLIS, IN 46216-2307
(317) 213-3135
Mailing address
5640 GLASS CHIMNEY LN, INDIANAPOLIS, IN 46235-6091
(317) 213-3135
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003184A
IN
Other
Enumeration date
09/13/2012
Last updated
06/28/2020
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