Individual
MS. DORA ELIA MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH THERAPIST
Contact information
Practice address
8380 VIRGINIA ST, MERRILLVILLE, IN 46410-6231
(219) 769-9009
(219) 755-4522
Mailing address
7109 COLORADO AVE, HAMMOND, IN 46323-2334
(219) 803-7298
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001182A
IN
Other
Enumeration date
01/25/2012
Last updated
01/25/2012
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