Individual
MS. DONNA MICHELLE EGGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCCSLP
Contact information
Practice address
1915 LAKE AVENUE, PLYMOUTH, IN 46563
(574) 935-2211
(574) 935-2212
Mailing address
1915 LAKE AVENUE, PLYMOUTH, IN 46563
(574) 935-2211
(574) 935-2212
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003882A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200635980
—
IN
Enumeration date
03/09/2007
Last updated
07/08/2007
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