Individual
SYDNEY ANTISDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4740 KINGSWAY DR, INDIANAPOLIS, IN 46205-1521
(317) 466-1000
Mailing address
11690 YALE DR APT 3E, CARMEL, IN 46032-4920
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46004068A
IN
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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