Organization
SPEAKINDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELBY NATION (OWNER)
(765) 524-9845
Entity
Organization
Contact information
Practice address
450 E 96TH ST, SUITE 500, INDIANAPOLIS, IN 46240-5703
(765) 524-9845
Mailing address
450 E 96TH ST, SUITE 500, INDIANAPOLIS, IN 46240-5703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14088609
IN
Other
Enumeration date
01/19/2017
Last updated
01/19/2017
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