Individual
MARY J EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14901 CAREY RD, CARMEL, IN 46033-6000
(877) 407-3422
(877) 407-4329
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003762A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201251830
—
IN
Enumeration date
01/08/2007
Last updated
05/29/2024
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