Individual
MALACHI HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
640 S WALKER ST STE A, BLOOMINGTON, IN 47403-2158
(812) 200-2777
Mailing address
1701 LIBRARY BLVD STE A, GREENWOOD, IN 46142-1567
(317) 881-9923
(317) 881-9966
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007836A
IN
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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