Individual
JENELL COLGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
(317) 849-5437
Mailing address
7901 E 88TH ST, INDIANAPOLIS, IN 46256-1235
(317) 849-5437
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
Primary
22007505A
IN
235Z00000X
Speech-Language Pathologist
SZ8948
FL
Other
Enumeration date
01/08/2014
Last updated
01/22/2021
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