Organization
REACHING OUT LOUD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI GOGOS M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(260) 450-3617
Entity
Organization
Contact information
Practice address
10620 CORPORATE DRIVE, SUITE C, FORT WAYNE, IN 46845
(260) 450-3617
Mailing address
10620 CORPORATE DRIVE, SUITE C, FORT WAYNE, IN 46845
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
22002999A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548369333
RENDERING NPI FOR JODI GOGOS
IN
Enumeration date
11/04/2010
Last updated
12/14/2010
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