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Organization

TIPPECANOE SPEECH LANGUAGE PATHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LISA L BUNTON (OWNER)
(765) 414-5149
Entity
Organization

Contact information

Practice address
310 OSPREY DR S, LAFAYETTE, IN 47909-8164
(765) 414-5149
(765) 538-2774
Mailing address
310 OSPREY DR S, LAFAYETTE, IN 47909-8164
(765) 414-5149
(765) 538-2774

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004114A
IN

Other

Enumeration date
06/03/2010
Last updated
06/03/2010
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