Individual
MS. MARY A DEINNOCENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP-A
Contact information
Practice address
1325 N. 200 E., LOGANSPORT, IN 46947
(574) 753-9855
(574) 753-9855
Mailing address
1325 N. 200 E., LOGANSPORT, IN 46947
(574) 753-9855
(574) 753-9855
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001831A
IN
235Z00000X
Speech-Language Pathologist
22001831A
IN
Other
Enumeration date
06/15/2007
Last updated
09/11/2025
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