Individual
JENNIFER FAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
(317) 582-8925
Mailing address
1185 W CARMEL DR BLDG C, CARMEL, IN 46032-8708
(317) 582-8925
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006012A
IN
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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