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Organization

M H VALE, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARLENE ADELE HERBST VALE M.A., L/CCC-SLP (PRESIDENT, SPEECH PATHOLOGIST)
(219) 661-0867
Entity
Organization

Contact information

Practice address
3805 W 107TH LN, CROWN POINT, IN 46307-2951
(219) 661-0867
(219) 663-0299
Mailing address
3805 W 107TH LN, CROWN POINT, IN 46307-2951
(219) 661-0867
(219) 663-0299

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002122A
IN
252Y00000X
Early Intervention Provider Agency
22002122A
IN

Other

Enumeration date
03/09/2011
Last updated
03/09/2011
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