Individual
LUAN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8060 KNUE RD, INDIANAPOLIS, IN 46250-1976
(317) 842-7435
Mailing address
1722 MICHELE LN, GREENWOOD, IN 46142-1328
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001365A
IN
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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