Individual
MRS. LISA MICHELLE CASSIDY STULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCCSLP
Contact information
Practice address
2141 N DAN JONES RD, AVON, IN 46123-6023
(317) 943-1837
(317) 780-3750
Mailing address
18 ESTATE DR, MOORESVILLE, IN 46158-1216
(317) 374-6947
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004181A
IN
Other
Enumeration date
10/19/2007
Last updated
12/06/2022
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