Organization
SECOND STAR SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY GARRISON CCC-SLP (OWNER)
(317) 796-6371
Entity
Organization
Contact information
Practice address
7007 GRAHAM RD STE 218, INDIANAPOLIS, IN 46220-4063
(317) 796-6371
Mailing address
7007 GRAHAM RD STE 218, INDIANAPOLIS, IN 46220-4063
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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