Individual
JESSICA RAISPIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6825 MADISON AVE STE A, INDIANAPOLIS, IN 46227-5093
(317) 851-8419
Mailing address
6825 MADISON AVE, INDIANAPOLIS, IN 46227-5168
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007655A
IN
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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