Individual
BRIAN FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, CCC-SLP
Contact information
Practice address
18758 ROUND LAKE RD, NOBLESVILLE, IN 46060-1494
(317) 774-3377
(317) 774-7337
Mailing address
18758 ROUND LAKE RD, NOBLESVILLE, IN 46060-1494
(317) 774-3377
(317) 774-7337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003274A
IN
Other
Enumeration date
06/04/2007
Last updated
07/08/2007
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