Individual
MRS. STACEY A WITTKAMPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
226 S ANDERSON ST STE B, ELWOOD, IN 46036-2015
(765) 552-8460
(765) 552-8470
Mailing address
226 S ANDERSON ST STE B, ELWOOD, IN 46036-2015
(765) 552-8460
(765) 552-8470
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002363A
IN
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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