Individual
MARY BETH POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1800 N WABASH RD STE 203, MARION, IN 46952-1300
(765) 651-3229
(765) 651-3227
Mailing address
1800 N WABASH RD STE 203, MARION, IN 46952-1300
(765) 651-3229
(765) 651-3227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002370A
IN
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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