Organization
LUANNE DEVRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LUANNE DEVRIES MA, CCC-SLP (OWNER)
(317) 578-7882
Entity
Organization
Contact information
Practice address
9878 WOODLANDS DR, FISHERS, IN 46037-9313
(317) 578-7882
(317) 576-9380
Mailing address
9878 WOODLANDS DR, FISHERS, IN 46037-9313
(317) 578-7882
(317) 576-9380
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002648
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3695876390000
—
IN
Enumeration date
04/18/2008
Last updated
04/18/2008
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