Individual
KENDALL RENEE SERMERSEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 NEWTON ST, JASPER, IN 47546-1329
(812) 482-1722
Mailing address
2515 NEWTON ST, JASPER, IN 47546-1329
(812) 482-1722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007407A
IN
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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