Individual
MS. KATRINA MARIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3215 E THOMPSON RD, INDIANAPOLIS, IN 46227-6682
(317) 782-8888
Mailing address
627 N PENNSYLVANIA ST APT C, INDIANAPOLIS, IN 46204-1370
(630) 201-2229
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2200737A
IN
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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