Individual
AUDREY MARIE HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
2303 PHIL WARD BLVD, CRAWFORDSVILLE, IN 47933-4607
(317) 520-4748
Mailing address
7611 E 975 N, DELPHI, IN 46923-9522
(765) 490-9712
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
2355S0801X
Speech-Language Assistant
Primary
29002133A
IN
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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