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Organization

COMMUNITY SPEECH PATHOLOGY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CARA JEANNE GRAY MA, CCC-SLP (CO-OWNER)
(812) 786-1568
Entity
Organization

Contact information

Practice address
1127 EASTRIDGE DR, NEW ALBANY, IN 47150-2086
(812) 786-1568
Mailing address
1127 EASTRIDGE DR, NEW ALBANY, IN 47150-2086
(812) 786-1568

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003943A
IN

Other

Enumeration date
04/14/2008
Last updated
04/14/2008
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