Individual
EMMA VIVIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
(219) 983-9681
Mailing address
506 LOCUST ST, VALPARAISO, IN 46383-4961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3275
KS
Other
Enumeration date
06/02/2017
Last updated
07/10/2023
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