Individual
SARAH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6622 AVALON FOREST DR, INDIANAPOLIS, IN 46250-2804
(317) 584-6544
Mailing address
6622 AVALON FOREST DR, INDIANAPOLIS, IN 46250-2804
(317) 584-6544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006778A
IN
235Z00000X
Speech-Language Pathologist
46003016A
IN
Other
Enumeration date
01/24/2017
Last updated
08/02/2022
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