Individual
KELLY NEEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 W CARMEL DR, CARMEL, IN 46032
(317) 570-9205
Mailing address
7701 E 21ST ST, INDIANAPOLIS, IN 46219-2406
(317) 375-2700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22006359A
IN
235Z00000X
Speech-Language Pathologist
Primary
46002593A
IN
Other
Enumeration date
06/09/2014
Last updated
06/19/2018
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