Individual
MRS. CAITLIN JOAN OPAL STACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9192 WALDEMAR RD, INDIANAPOLIS, IN 46268-1131
(317) 471-8560
(317) 471-8627
Mailing address
9192 WALDEMAR RD, INDIANAPOLIS, IN 46268-1131
(317) 471-8560
(317) 471-8627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002511A
IN
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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