Individual
MRS. REBECCA MILES RISSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
12065 OLD MERIDIAN STREET, SUITE 205, CARMEL, IN 46032
(317) 818-5426
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22003692A
IN
235Z00000X
Speech-Language Pathologist
22003692A
IN
Other
Enumeration date
04/28/2009
Last updated
11/20/2020
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