Individual
DR. CARAH JANE SULLENBARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPD, CCC-SLP
Contact information
Practice address
9919 TOWNE RD, CARMEL, IN 46032-8260
(317) 872-4166
(317) 872-3234
Mailing address
9919 TOWNE RD, CARMEL, IN 46032-8260
(317) 872-4166
(317) 872-3234
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
105795
TX
235Z00000X
Speech-Language Pathologist
Primary
22005484A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300060257
—
IN
Enumeration date
07/06/2011
Last updated
01/11/2023
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